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  1. Type of Contact*
  2. Your Role*
  3. Please Rate the Following (if Applicable)
  4. Response Time
  5. Was Deputy Courteous & Professional?
  6. Were You Treated with Respect & Consideration?
  7. Did Deputy Show Concern for Your Situation?
  8. Deputy Listened to What I Had to Say.
  9. Was the Deputy Knowledgeable?
  10. Deputy's Ability to Resolve Your Situation.
  11. Deputy Took Time to Explain Their Actions &/or Offered Alternatives.
  12. Rate the Overall Service Provided by the Deputy.
  13. Would You like Return Contact?*

      If yes, please be sure to include your contact information at the top of this form.

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