Feedback Survey Form

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A Disability Services Organization


Welcome to the DIAL, Inc Feedback Survey Form web page. This form is used to collect information regarding our website. The collected information will be used in improving the www.dial-cil.org.


Please feel free to add any additional comments that you might have that can assist the DIAL, Inc. staff.


Once you fill out the survey, please click on the submit button. Once you submit the information, please be patient and you will be redirected back to the DIAL, Inc. Center for Independent Living Website.


The DIAL, Inc. Center for Independent Living staff thanks you for your time.

E-Mail Address:
What can we do to make
our website better?
Please share any
other ideas here:
  Thank you for your support and interest!
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