2. Do you feel that you were waited on promptly?
3. How long did you wait to speak to with someone?
4. What is the name of the staff person who assisted you?
5. How many times did you have to contact us before you were helped?
6. Were your questions answered to your satisfaction?
If you answered no, please explain
7. Did the staff person explain and review your forms with you?
8. Did you get the information you needed to help you choose a provider?
9. Do you feel that the staff person acted in your best interest?
10. Do you feel that the staff person is well supervised and well trained?
Please rate the staff person who helped you on the following items:
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