Evaluation Form

Your feedback about your experience using the Lawyer Referral Service is very important. Please take a few moments to share your thoughts. Thank you!


Untitled
Client Name

Lawyer

Appointment Date

Lawyer Referral Service is a public service activity of the Santa Cruz County Bar Association. The purpose of the service is to provide a lawyer for you type of legal problem. In order to maintain and improve our referral service, we would appreciate your answering the following questions to assist us in our evaluation.

  1. Did you keep your appointment?
     Yes   No
    If not, why?
  2. Were you satisfied with the service you received from Lawyer Referral Service?
     Yes   No 
    If not, why?
  3. Were you satisfied with the services of the lawyer?
     Yes   No 
    If not, why?
  4. Did you hire the lawyer for any services after the initial appointment?
     Yes   No 
    If not, why?
  5. Please check payments you've made:
     Referral fee of $50, which is/was collected by the lawyer at time of appointment.
     Additional fees of $ paid to the lawyer / or to be paid in the future.
  6. Do you feel the fees charged were reasonable?
     Yes   No 
    If not, why?
  7. Please share your comments below or on the back of this sheet. If you are willing to let us use your feedback anonymously in our marketing materials, please check this box:

    Comments, if any:
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