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1. What type of comment would you like to submit? Complaint Problem Suggestion Praise
2. Please provide additional information, comments or suggestions:
3. How did you hear about Valencia Community Partnership? (Check all that apply) Current Client Board Member VCP Partner Community Member Online Search Newspaper Other (please list)
4. How may we contact you? (Enter Name, Address, City, State, Zip, Phone)
5. What is your E-mail address? 6. When is the best time to contact you? Morning 8 am - 11 am Lunch 11 am - 1 pm Afternoon 1 pm -4 pm Evening 4 pm - 6 pm
7. Would you like to be contacted ASAP about this issue? Yes No
