Atlanta VR&E Customer Satisfaction Survey Question Title * 1. Please enter the date of your Atlanta VR&E appointment. Date / Time Date Question Title * 2. My VR&E case manager was ready to meet at the designated time. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 3. Did you feel prepared for your appointment? Yes No Question Title * 4. My VR&E case manager seemed to want to help me. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 5. My VR&E case manager was respectful to me. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 6. I felt heard by my VR&E case manager. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 7. Overall, how satisfied are you with the service your received from Atlanta VR&E? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 8. How could your experience with Atlanta VR&E be improved? Question Title * 9. How satisfied were you with having your appointment virtually? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Question Title * 10. How satisfied were you with the quality of connectivity during your virtual appointment? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Question Title * 11. Did you have connectivity issues during your tele-counseling appointment? Yes No None of the above Question Title * 12. If you had connectivity issues, what were they? Done