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* 1. Today's date or date of service:

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* 2. Type of Contact:

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* 3. How long have you been a client of The Housing Authority of the County of Monterey?

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* 4. Which programs of The Housing Authority of the County of Monterey do you participate in? (Please select all that apply.)

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* 5. How would you rate the quality of our services?

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* 6. Do you have any other comments, questions, or concerns?

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* 7. (Optional) Your Name:

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* 8. Phone Number:

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* 9. Email:

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