VITA Client Satisfaction Survey Client Satisfaction Survey (Optional) My name is: First Last (Optional) My preparer's name was: First Last (Optional) My reviewer's name was: First Last The date of my appointment was: MM slash DD slash YYYY How satisfied are you with your VITA experience?* Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied You have indicated that you were satisfied with your VITA experience. Please tell us what went well and/or whether there are specific individuals who we can praise for a job well done! We enjoy sharing positive comments at our Wrap-up celebration after the season is over!You have indicated that you were neutral or unsatisfied with your VITA experience. Please tell us what we could have done to improve your experience.Is there anything else you would like us to know about your VITA experience?CommentsThis field is for validation purposes and should be left unchanged.
