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Customer Service Survey
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Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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Step One
Customer Service Survey
Please complete the following.
When did you seek service from Community Development (date)?
Write in date of service.
Which of the following best describes you?
Please mark appropriate box.
Citizen/Resident
Business Owner
Commercial Property Owner
Contractor
Property Manager
Consultant
Other
Briefly describe your reason for the contact and service provided.
Name of the staff that helped you?
Approximately how long did you wait to be served?
Please mark appropriate box.
0-5 minutes
5-10 minutes
10-20 minutes
20-30 minutes
30 minutes or longer
Continue
Step Two
Please rate our staff on the following categories.
A=Excellent and F=Poor
Respectful
A
B
C
D
F
N/A
Knowledgeable
A
B
C
D
F
N/A
Professional
A
B
C
D
F
N/A
Friendly
A
B
C
D
F
N/A
How well did our staff do the following?
A=Excellent and F=Poor
Communicated information clearly
A
B
C
D
F
N/A
Clearly answered your questions
A
B
C
D
F
N/A
Listened to your concern(s)
A
B
C
D
F
N/A
Responded in a reasonable amount of time
A
B
C
D
F
N/A
Please rate us on the following office matters.
A=Excellent and F=Poor
Inviting/welcoming appearance
A
B
C
D
F
N/A
Neatness/Cleanliness
A
B
C
D
F
N/A
Understandable Application/Forms
A
B
C
D
F
N/A
Were you pleased with the manner in which your request was handled?
Yes
No
Please rate your overall experience with our department.
A=Excellent and F=Poor
A
B
C
D
F
Please provide any additional comments, information and/or suggestions.
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Step Three
The following contact information is optional.
Name
Email Address
Address
City
State
Zip Code
Phone Number
Fax Number
Do you wish to be contacted to discuss the survey?
Yes
No
Do you wish to be added to the City's e-newsletter or email list?
Yes
No
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
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