2. We would like your feedback!
   Please provide a response to the statements below in order to help us ensure our customers are receiving quality service.
4. First name*
5. Last name
7. How did you hear about us?*

   1. Television
   2. Radio
   3. Facebook/Social Media

   1. Newspaper
   2. Family/Friend
   3. Poster/Flyer

   1. Agency Referral
   2. Fair/Event
   3. Other
9. If Agency Referral, Fair/Event, or Other, please explain.
11. May we contact you regarding your response?*

    1. Yes
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12. How would you like us to contact you?
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13. Please provide your contact information
17. Please select the office you visited from the dropdown and tell us about your experience today.*
    -- Select One --AbileneBrownwoodEastlandSweetwater
19. 1. I was treated with respect, professionalism and courtesy

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
20. 2. Staff were knowledgeable about the services Workforce Solutions offers

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
22. 3. Staff listened to me

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
23. 4. Staff were empowered to assist me

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
25. 5. Staff offered solutions to meet my needs

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
26. 6. I was satisfied with the service I received

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
28. 7. I would recommend Workforce Solutions to others

    1. Strongly Disagree
    2. Somewhat Disagree
    3. Neutral
    4. Somewhat Agree
    5. Strongly Agree
29. 8. Please provide the name(s) of the Workforce Solutions staff who served you today.*
31. Do you have any additional comments you would like to share with us today?
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