Customer Feedback * indicates a required field Which of our services did you use today? In Person Self Service Tag Kiosk Website Text Messaging Call Center Email Mail / Drop Box OtherOther Please rate our service. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate our handling of your questions or payments. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate our staff on giving accurate information. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate our consultative approach in giving accurate and complete information. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate our staff's level of knowledge. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate how promptly calls were answered. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate how our call center agents asked appropriate and consultative questions to provide better service. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate how a call was returned promptly after a message was left. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate if our management was available. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please rate our office hours. * -- Select One --N/A - Not ApplicableA - ExcellentB - Very GoodC - SatisfactoryD - Needs ImprovementE - Unacceptable Please note any comments or observations. * Contact Information We would appreciate you providing your contact information, but it is not required. This information will be kept in the strictest confidence and will not be shared with any outside parties. Staff Member's Name Date Purpose of Visit or Call Your Name Your Phone Number Your Email Address May we contact you about your comments? Yes No Receive an email copy of this form. Receive an email copy of this form. Email address This field is not part of the form submission. Submit If you are human, leave this field blank. Δ
