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* 1. What is the approximate date of your visit/service?

Date / Time

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* 2. Are you a resident of Walton County

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* 3. Overall, how would you rate the quality of your visit/service experience?

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* 4. How were you assisted?

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* 6. What is the name(s) of the staff that assisted you?

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* 7. How professional was the staff that assisted you?

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* 8. How well did we understand your questions or concerns?

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* 9. How much time did it take to address your questions or concerns?

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* 10. How knowledgeable was the person who assisted you?

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* 11. Please provide us with any additional information about your experience that you feel will be valuable or will assist us in improving our services.

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* 12. If you would like to provide your name for the record, or if you would like to receive a follow-up response, please provide us with the following information.

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