Service Evaluation Questionnaire On behalf of the management and staff of Bucks County Elder Law we thank you for allowing us to be of service to you. We would appreciate a few minutes of your time to complete this evaluation form. The purpose of this questionnaire is to evaluate your overall perception of the quality of service rendered by our firm, and whether we met your legal objectives and expectations. Please be as candid and as critical as you would like. Your feedback is most important to us and will enable us to constantly upgrade the quality of the services we provide. Client(Required) First Last Your Name(Required) First Last Type of Legal Service(Required) Estate Planning Medicaid Probate/Trust Administration Other Goals & Expectations(Required)ExcellentGoodFairPoorDid we meet your goals & expectations?Were your needs met timely & efficiently?Comfort level with our process?Comments about goals & expectationsFor any area in which you rate us fair or poor, please provide an explanation.Contact with our Team(Required)ExcellentGoodFairPoorOur professional mannerOur knowledge/ CompetencyResponsiveness (phone call returned promptly)Effective communicationComments about contact with our teamFor any area in which you rate us fair or poor, please provide an explanation.Documents(Required)ExcellentGoodFairPoorAccuracyAppearance & presentationTimeliness of deliveryComments about documentsFor any area in which you rate us fair or poor, please provide an explanation.Fees & Costs(Required)ExcellentGoodFairPoorReasonablenessValueOverallComments about fees & costsFor any area in which you rate us fair or poor, please provide an explanation. We would appreciate it if you would complete the statements below:What I expected was...What I got was...What mattered most to me was...Would you be willing to serve as a reference?(Required) Yes No Would you refer someone else to our office for assistance?(Required) Yes No If someone asked you about our firm, what would you say?May we use your comments for testimonial purposes?(Required) Yes No Email(Required)If you checked YES, please provide your email address so your feedback can be published.