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CONSUMER SURVEY
Please help us improve our program by answering the following questions about the treatment you received DURING THE PAST SIX MONTHS. Your answers are confidential. Please indicate if you Strongly Disagree, Disagree, Are Undecided, Agree, or Strongly Agree with each of the statements below. Put an (X) in the box that best describes your answer. Thank you in advance for your participation. We appreciate your willingness to help us improve our organization.
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