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Customer Feedback Survey

At DDS "We C.A.R.E.", so please tell us how we're doing!

Customer Service Center Experience
Date of Service*:   Time of Service*:
CSC Visited*: Examiner (optional):
What was your purpose for this visit/trip? *

Did you get the service you came here for? *
Please rate our service*:
Was our facility adequate?
Was our service timely?
Was our facility clean?
Was our staff knowledgeable?
Was our staff courteous?

Customer Info
Name:   Phone:
Address:   E-mail Address:  
May we contact you about this survey?*

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