If you have recently asked us to discontinue some or all of the services we have been providing to you, we would appreciate if you could take a minute to answer the following questions. This is part of an ongoing effort to improve our services and ensure customer satisfaction. Participation is purely voluntary; if you prefer not to participate, there is no need to fill out this form.

Your responses to this survey are read by senior management, so this is your chance to make a difference, or simply express your opinion of our services.

Thank you for your time, and we offer you best wishes in future endeavors.