RAD/HRC Customer Satisfaction Survey

How would you rate your visit with us today?

*This question is required.

Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied

2. What was the reason for your visit? *This question is required.

3. Is there anything about your visit that should be improved?

4. What did you like best about your visit?

5. Is there anything you'd like to share about your visit?