Customer Satisfaction Survey

Date of Service (required)

Service Address

Which department did you contact for information (required)

Resource Recovery (Laboratory, Maintenance, Safety, Treatment)

Business Services (Human Resources, Finance, Information Technology)

Engineering (Capital Projects, Environmental Programs, Development)

Administration (Board of Directors, General Manager)

Please describe the type of information or assistance you requested and received. (required)

Who helped you today? (required)

Were we able to resolve your issue? (required)

Yes

No

Overall, how satisfied were you with service that you received? (required)

Extremely satisfied

Somewhat satisfied

Somewhat dissatisfied

Extremely dissatisfied

How satisfied were you with the information provided by staff? (required)

Extremely satisfied

Somewhat satisfied

Somewhat dissatisfied

Extremely dissatisfied

How satisfied were you with our response time? (required)

Extremely satisfied

Somewhat satisfied

Somewhat dissatisfied

Extremely dissatisfied

Did you find our employee courteous and professional? (required)

Yes

No

Was our employee well informed and did he/she understand your request or concern? (required)

Yes

No

Do you have suggestions to improve our service?

Name

Email Address (required)

Telephone Number (required)

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