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Casework success story

Have you received help from Senator Curtis’ office on a federal issue? We’d love to hear about your experience! Your feedback helps us continue providing excellent service, and with your permission, your story could be featured online and in Senator Curtis’ weekly “Highs and Lows” e-newsletter.

"*" indicates required fields

Contact Information

First Name*

Last Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Overall Satisfaction of Service

How would you rate the professional manner of our service?

5 - Excellent

4 - Above Average

3 - Average

2 - Below Average

1 - Poor

How would you rate our communication with you?

5 - Excellent

4 - Above Average

3 - Average

2 - Below Average

1 - Poor

How timely were our updates about the status of your case?

5 – Very timely

4 – Mostly timely

3 – Somewhat timely

2 – Not very timely

1 – Not timely at all

Newsletter

Would you be willing to let us share your experience regarding your casework in Senator Curtis' weekly "Highs and Lows" e-newsletter?*

Yes, I consent to the Office of Senator Curtis releasing my story with my name

Yes, I consent to the release of my story, but please do not include my name or identifying details

No, I do not consent to the release of my story in any form

Please describe your experience below:

Would you like to be included on our mailing list?

Yes

No

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