1.   To what extent did the individuals you referred to ACS receive the information or assistance they were seeking:
5
4
3
2
1

2.  To what extent did ACS assist these individuals in resolving the issue(s) for which they were referred to ACS?
5
4
3
2
1

Please check one of the following to indicate your status:
Command
Legal
Medical
Military Supervisor
Chaplain
Civilian Agency
Civilian Supervisor
Other

Comments:

Form Complete (Y):