The image shows a printed document with text on it, which appears to be a form of some sort. At the top, there is a logo followed by what seems to be a company name. The document contains multiple lines of handwritten text in blue ink, likely responses or comments associated with certain sections or questions listed above them. The bottom right corner of the image has a phone number and an address written in black ink. The background of the document is not visible due to the overlaying text and handwriting.