Volunteer Attorney Clinic Survey
Please share your thoughts with us! Your feedback allows us to continue to improve our processes. * Indicates required question
Name
*
First Name
Last Name
Company
*
Phone Number
*
Email (please use the email we used to send you this survey)
*
example@example.com
Clinic Date
*
/
Month
/
Day
Year
Date
How many hours did you spend on this Clinic (prep work included)?
*
If billed at your usual rate, what would be the value of the services provided to the client?
*
Do you think our service could improve If so, please share how.
*
In the space below, please provide notes & next steps for the clients for whom you met.
*
RecordTypeId
ContactId
ClinicAssnId
ShiftId
Submit
Should be Empty: