Please take a moment to fill out this customer service survey, which will help improve our organization and services at Proteus, Inc. Thank you in advance for your time.

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* 1. Office Location

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* 2. Today's Date:

Date

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* 3. What is the purpose of your visit? (*)

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* 4. If you selected "Enrolled in a Program" for question 3, please name the program.

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* 5. I was greeted and acknowledged immediately by a staff member in a friendly manner.

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* 6. I felt welcome and respected at Proteus

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* 7. Please explain why

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* 8. I was provided information regarding Proteus' services.

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* 9. Please explain why

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* 10. The services and/or referrals that Proteus offers met my needs.

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* 11. Please explain why

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* 12. I would recommend Proteus services to friends and family.

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* 13. Please explain why

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* 14. How did you hear about Proteus? (*)

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* 15. Please let us know how Proteus can better serve
you, or improve our services?

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