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CONFIDENTIAL CLIENT SATISFACTION SURVEY

This survey will be kept confidential and will not be shown to your lawyer, unless you check the box indicating “Yes” at the end of this form. 
Attorney Involved In Case

For the following questions, please indicate how much you agree or disagree with each statement about the lawyer who represented you.  For each item, you may circle any number corresponding to the  scale below.

For the following questions, please indicate how much you agree or disagree with each statement about the lawyer who represented you.  For each item, you may check any number corresponding to the scale below.

-4   Strongly Disagree
-3 
-2   Disagree 
-1        
0    Not Sure       
+1       
+2  Agree  
+3       
+4  Strongly Agree                           

__________________________________________________________________________________________________________________________

1. Made me feel comfortable.
-4 -3 -2 -1 0 1 2 3 4
2. Said things I did not understand.
-4 -3 -2 -1 0 1 2 3 4
3. Treated me with respect.
-4 -3 -2 -1 0 1 2 3 4
4. Understood what was most important to me.
-4 -3 -2 -1 0 1 2 3 4
5. Listened to me.
-4 -3 -2 -1 0 1 2 3 4
6. Did not explain what he or she would do next for me.
-4 -3 -2 -1 0 1 2 3 4
7.  Was someone I could trust.  
-4 -3 -2 -1 0 1 2 3 4
8. Asked confusing questions.   
-4 -3 -2 -1 0 1 2 3 4
9. Understood why I needed legal help.
-4 -3 -2 -1 0 1 2 3 4
10. Assisted me with my legal matter.
-4 -3 -2 -1 0 1 2 3 4
11. I was informed about important decisions in my case.
-4 -3 -2 -1 0 1 2 3 4
12. The lawyer’s support staff was helpful.
-4 -3 -2 -1 0 1 2 3 4
13. If I need legal services in the future I will use Walker & Billingsley. 
-4 -3 -2 -1 0 1 2 3 4
14. If I came back to this office with a different need for legal help, I would want the same lawyer to help me.
-4 -3 -2 -1 0 1 2 3 4
15.  I will recommend my lawyer to others.
-4 -3 -2 -1 0 1 2 3 4
Show my answers to the lawyer who represented me.
Yes
No
Please use the space below if you would like to explain any of your answers to the questions on the survey.  For example, if you circled +4 to Question 2: “Said things I did not understand”, you can tell us here what you did not understand.  If you have other questions or comments about your experience with the lawyer, you can also write those down in this space:


 
Iowa Attorneys dedicated to protecting the rights of their clients with offices in Des Moines and Newton.  We are located in Central Iowa assisting residents of including the cities of Sioux City, Council Bluffs, Des Moines, Fort Dodge, Ames, Cedar Rapids, Iowa City, Davenport, Dubuque, Waterloo, Newton, Adel, Pella, Knoxville, Montezuma, Indianola and Burlington , and the communities that make up Woodbury, Pottawattamie, Polk, Webster, Story, Linn, Johnson, Scott, Dubuque, Black Hawk, Jasper , Marion, Poweshiek, Dallas, Warren, and Des Moines counties.  However, our Iowa lawyers represent clients throughout the state.

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