1. Default Section

* 1. Did you wait longer than 20 minutes to be seen?

* 2. Was your visit the result of a scheduled appointment?

* 3. Was the FSS Specialist professional and courteous?

* 4. If No, please briefly explain:

* 5. Did the FSS Specialist answer your questions thoroughly?

* 6. If No, please briefly explain:

* 7. Were your needs addressed?

* 8. How can SHA better serve you?

* 9. Tenant Name

* 10. Specialist Name

* 11. Date of Visit

Date
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Report a problem

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