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* 1. Services were provided in a timely manner.

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* 2. Services were provided respectfully.

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* 3. Services met or exceeded my expectations.

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* 4. Staff provided individualized attention.

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* 5. Staff was courteous and professional.

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* 6. Staff answered my questions adequately.

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* 7. Staff communicated clearly with me.

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* 8. As a result of my services I feel more hopeful.

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* 9. Please offer any additional comments or suggestions.

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* 10. Who are you

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