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CONSUMER

SATISFACTION SURVEY

Consumer Satisfaction Survey

Date:

Phone:

Full Name:

1. Please indicate the services you now receive or have received in the past from LIFE Inc. Center. 

2. LIFE Inc. staff treated you in a friendly, caring, and  respectful manner. 

Select an option
Services:

3. LIFE Inc. staff responded to you in a timely manner. 

Select an option

4. LIFE Inc. encouraged you to make decisions so you can live more independently. 

Select an option

5. LIFE Inc. services met your needs.

Select an option

6. LIFE Inc. services gave you enough information to help you make informed choices.

Select an option

7. I was satisfied with services 

provided by LIFE Inc. 

Select an option

8. Based on your experience, what could the Center do to improve services.

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