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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?

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* 4. What kind of legal services did you receive?

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* 5. How satisfied are you with your experience with Empowerment Legal Services?

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* 6. How easy was it to get in touch with Empowerment Legal Services?

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* 7. How friendly are the staff at our organization?

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* 8. How likely are you to use our organization in the future?

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

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* 10. Please share any additional feedback you may have!

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