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ARE YOU

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* 1. ARE YOU

YOUR AGE

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* 2. YOUR AGE

YOUR GENDER

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* 3. YOUR GENDER

HOW DID YOU FEEL BEFORE COMING TO SEE US?

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* 4. HOW DID YOU FEEL BEFORE COMING TO SEE US?

WHY DID YOU COME TO SEE US? (tick as many as apply

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* 5. WHY DID YOU COME TO SEE US? (tick as many as apply

WHAT DID THE SERVICE HELP YOU TO DO? (tick as many as apply)

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* 6. WHAT DID THE SERVICE HELP YOU TO DO? (tick as many as apply)

WHAT ARE YOUR NEXT STEPS?

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* 7. WHAT ARE YOUR NEXT STEPS?

HOW DO YOU FEEL AFTER SEEING US?

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* 8. HOW DO YOU FEEL AFTER SEEING US?

WOULD YOU RECOMMEND US TO OTHERS?

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* 9. WOULD YOU RECOMMEND US TO OTHERS?

WHAT COULD WE HAVE DONE BETTER TO HELP YOU?

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* 10. WHAT COULD WE HAVE DONE BETTER TO HELP YOU?

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