We want to improve so we would like your feedback. Please answer the following questions so we know how we are doing.

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* 1. I contacted Foothills AHEC because I needed information on/from: (Please choose all that apply.)

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* 2. Date of Contact

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* 3. Type of Contact

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* 4. Please answer each of the statements below and rate the service you received today based on the following scale:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
We were courteous and respectful.
We were helpful.
We were knowledgeable.
We responded to you quickly.
Overall, I was satisfied with my contact with Foothills AHEC.

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* 5. Please share any comments in the area provided:

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* 6. If you would like us to contact you, please provide your information.

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