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CUSTOMER SATISFACTION SURVEY

Thank you for helping us serve you better!

Federal Occupational Health values your feedback about how well we are doing our job and what we can do to improve the services we deliver to you.  Please take a few moments to evaluate our services by answering the questions below.  Then electronically submit your answers by pressing the "submit" button at the end of the survey.  Your feedback will remain anonymous unless you provide contact information, which is strictly voluntary.


Occupational Health Center

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Agency


Service


Rating

Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:
Using a scale of 1 to 5 (1=unacceptable, 2=poor, 3=fair, 4=good, 5=excellent, and N/A=NOT APPLICABLE), please rate the following aspect of the service(s) you received on that date:




Please press the submit button to submit your answers.
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