2. Please rate our services
4. Response time of answering the phone*
   -- Select One --ExcellentGoodFairPoorNot Applicable
5. Courtesy of Staff*
   -- Select One --ExcellentGoodFairPoorNot applicable
7. Knowledge of staff assisting you*
   -- Select One --ExcellentGoodFairPoorNot applicable
8. Helpfulness of information*
   -- Select One --ExcellentGoodFairPoorNot applicable
10. Responsive to your needs*
    -- Select One --ExcellentGoodFairPoorNot applicable
11. Communicated to you what to expect next*
    -- Select One --ExcellentGoodFairPoorNot applicable
13. Overall satisfaction*
    -- Select One --ExcellentGoodFairPoorNot applicable
14. Did you call from a cell phone?*
    -- Select One --YesNo
16. If you answered FAIR or POOR to any of the questions, what was unsatisfactory about the service?*
18. In order to improve our service, we would appreciate your comments and suggestions*
20. If you would like to recognize an employee who provided excellent service, please give us their name and tell us how they helped you.*
24. The following questions are optional.
26. First Name
27. Last Name
29. Street Number
30. Street Name
31. Street Type
32. Apt #
34. City
35. State
36. Zip
38. Telephone Number
39. Email Address
40. May we contact you for additional information if needed?
    -- Select One --YesNo
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42. 1. Receive an email copy of this form.
43. Email address

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