
INSTRUCTIONS: Please rate the following services while visiting AFC. Select the number that best represents your feelings. If a question does not pertain to you, select N/A. Thanks for your help!
| 5 | Very Good |
| 4 | Good |
| 3 | Fair |
| 2 | Poor |
| 1 | Very Poor |
| N/A | Not Applicable |
Note: All fields are required unless marked with *.
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