MAHUBE-OTWA Client Satisfaction Survey
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
How did you connect with us?
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Mahnomen Site
Park Rapids Site
Detroit Lakes Site
Fergus Falls Site
Wadena Site
By phone
By email
Outreach Event
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I felt welcomed when I entered the building.
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
The office was open at a time that met my needs.
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I was treated with respect.
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I was informed of the services I might qualify for.
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I would recommend MAHUBE-OTWA to others.
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
How can we better serve you?
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May we contact you to follow up? If "Yes" please fill in your contact information below.
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Name
First Name
Last Name
Email
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Format: (000) 000-0000.
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