We value and appreciate your feedback. Your comments and suggestions will be used to evaluate our services and to make improvements.  
Thank you!

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* 1. Date

Date

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* 2. Which program area did you receive services?

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* 3. How would you rate the following?

  Excellent Good Fair Poor N/A
Staff's knowledge on the services provided...
Staff response time...
Professionalism of staff...
The clarity of the information given...
The overall quality of our services...

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* 4. Would you like to recognize an employee for excellent service?

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* 5. Please share comments or suggestions on how we could improve our services!

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