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HempsteadWorks Registration Survey

1.  Last Name:*

2. Did you find our reception staff to be friendly and welcoming? 

3.  How would you rate your overall experience with our intake process?  (5 Being the highest rating.)

4.  How satisfied were you with communication during the intake process?  (5 Being the highest rating.)

5.  Were the instructions regarding required documents and procedures clear and easy to understand?  

6.  How would you rate the speed and efficiency of the intake process?   (5 Being the highest rating.)

7.  How would you rate the courtesy and professionalism of your Intake Counselor?  (5 Being the highest rating.)

8. Which Intake Counselor did you meet with?

9.  Is there anything else you would like to share about your experience with intake?

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