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1. Name (Optional)

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2. Please Specify Current Date and Time.

Date
Time

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3. Which option best describes the type of services provided to you? (Required.)

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4. What kind of legal services did you receive? (Required.)

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5. How satisfied are you with your experience with Empowerment Legal Services? (Required.)

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6. How easy was it to get in touch with Empowerment Legal Services? (Required.)

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7. How friendly are the staff at our organization? (Required.)

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8. How likely are you to use our organization in the future? (Required.)

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9. How likely is it that you would recommend this organization to a friend or colleague? (Required.)

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10. Please share any additional feedback you may have!

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