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Please take a minute or two to tell us how we did today!

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* 1. Which method did you use to contact us today?

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* 2. Which program was the main reason for your interaction with us today?

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* 3. Which office did you visit or did you phone in today?

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* 6. What did you do during your visit or contact today? Select all that apply

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* 7. If you recently had direct interaction with a customer service representative staff (receptionist in the lobby or over the phone). Please rate your experience:

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* 9. How soon after your scheduled appointment were you contacted?

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* 10. Below is a list of statements about your experience today. Please indicate how much you agree or disagree with each
statement. If a statement does not apply to your visit, check N/A.

  Agree Somewhat Agree No Opinion Somewhat Disagree Disagree Not Applicable
Staff treated me with courtesy and respect
Staff was clear in explaining the program and my options
Staff listened to me and answered my questions
I believe I have a better chance of getting a job (or a better job if you already have one) as a result of my
experience here

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* 11. Overall, how would you rate your in-person or over-the-phone experience today?

This institution is an equal opportunity provider

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* 12. Think about the last time you emailed your worker and asked them to respond. How many business days did it take for them to respond to you?

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* 13. Think about the last time you left a telephone message asking your worker to call you back. How many business days did it take for them to respond to you?

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* 14. How responsive was the W-2 agency to the needs of you and your family?

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