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2. What was the purpose of your contact with our office?

   1. Obtain a certified birth certificate
   2. Obtain a death certificate
   3. Military Discharge

   1. Recording of a Deed
   2. Other
3. Other
5. Did you utilize our web services, visit our public, or contact our office through the telephone?

   1. Utilized Web Services

   1. Visited Public Office

   1. Called Our Office
7. If you utilized our web services, did the service meet your needs?

   1. Yes
   2. No

   1. Other
8. Other
10. If you utilized our web services, how satisfied are you with this website's ease of use?

    1. Extremely satisfied
    2. Very satisfied
    3. Somewhat satisfied

    1. Not so satisfied
    2. Not at all satisfied
    3. Other
11. Other
13. If you visited our public office or called into our public office, did our professional staff give you courteous service?

    1. Yes
    2. No

    1. Other
14. Other
16. If you visited our public office or called into our public office, did our professional staff answer your questions to your satisfaction?

    1. Yes
    2. No

    1. Other
17. Other
19. If you visited our public office or called into our public office, did our service(s) meet your needs?

    1. Yes
    2. No

    1. Other
20. Other
22. If you visited our public office or called into our public office, how would you rate the quality of service provided by our professional staff?

    1. Excellent
    2. Good
    3. Average

    1. Below Average
    2. Poor
    3. Other
23. Other
25. Overall, how satisfied or dissatisfied were you with your last visit to our office?

    1. Very satisfied
    2. Somewhat satisfied
    3. Neither satisfied nor dissatisfied

    1. Somewhat dissatisfied
    2. Very dissatisfied
27. We value your input and suggestions. Please provide feedback regarding our services and professional staff so that we may provide you excellent customer service and meet your needs.
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29. 1. Receive an email copy of this form.
30. Email address

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