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* 1. Date of Service:

Date

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* 2. What type of assistance did you seek from Student Accessibility Services (SAS) today?

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* 3. Did you schedule an appointment or did you drop in?

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* 5. Please rate your experience in the following areas according to the scale:

  Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree
SAS staff were professional and helpful
Services I received met my needs
I am satisfied with the services provided

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* 6. How can we improve our services to better meet your needs?

T