(may indicate all, if applies)
Please note that your name/email will not be disclosed. It will only be used for an executive member to reach out to you for follow-up
1-Poor 2-Fair 3-Good 4-Excellent
1-Never 2-Rarely 3-Sometimes 4-Often 5-Always
1-Very Dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very satisfied