Instructions & Reminders:
For each statement, choose the answer(s) that best fits.
This survey is
confidential. We won't collect your personal information
unless you ask for a follow-up.
- If you want someone to contact you about your feedback, you can leave your contact information at the end of the survey.
- By providing this information, your survey will no longer be anonymous; however, we will only share your survey response with the necessary staff for follow-up.
For the next questions, say whether you agree or disagree with each statement about the service you received.