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* 1. Address

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* 2. Utilizing a Scale of 1 through 5 where "1" means Very Satisfied and "5' means Very Dissatisfied what is your overall satisfaction with the services provided from the Connecticut Department of Labor and its American Job Center partners?

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* 3. Considering all expectations you may have had about the services, to what extent  did the services meet your your expectations? "1" now means "exceeded your expectations" and "5" means "fell short of your expectations".

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* 4. Think of the ideal program for an individual in your circumstances.  How well do you think the services you received compare to the ideal set of services? "1" means "Very close to the ideal", "5" means "Not very close to the ideal".

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* 5. Do you have any comments regarding your experience with the Connecticut Department of Labor and its American Job Center partners?

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* 6. Do you have any suggestions for improving our services?  Please identify the agency for which you are making the suggestions.

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* 7. Which American Job Center are you working with?

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* 8. Which Workforce 
Development Board are you working with?

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