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* 1. I am a:

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* 2. Age:

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* 3. Race:

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* 4. Gender:

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* 5. Have you ever called NRS' online services before?

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* 6. I chose to contact NRS today via:

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* 7. After communicating with NRS, I feel more supported than I did before contacting NRS.

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* 8. NRS discussed options and resources that will help me address my situation.

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* 9. Overall, NRS was effective in helping me today.

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* 10. Would you recommend NRS' online services to a friend?

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* 11. Do you have any additional comments or suggestions for NRS?

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