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* 1. What was the reason for your visit/appointment?

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* 2. Who did you speak with?

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* 3. Did your caseworker treat you with dignity and respect?

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* 4. Do you feel your questions/concerns were adequately addressed and answered?

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* 5. Please indicate the length of your call and/or visit:

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* 6. Please rate your overall experience with Allen County Department of Job and Family Services:

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* 7. Comments

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* 8. Your contact information (optional)

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