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WEB SERVICES > ABOUT US > CUSTOMER FEEDBACK FORM

Customer Feedback Form
 

Please take a minute to complete and submit this survey. The information will be used to support our continuous improvement efforts. Feel free to include comments or suggestions for improvement. You may comment anonymously or request a response.

Thank you for your time and input!

Date of Contact:

Purpose of Service:

Please rate the quality of services provided. Read each statement below and check the box that best describes your answer.

  Exceeded my expectations Met my expectations Fell short of my expectations
1. Timeliness of service
2. Extent to which the service or information requested was provided
3. Extent to which staff was courteous and friendly
4. Extent to which staff was knowledgeable
5. Quality of service

Would you like someone to contact you? If so, please specify the issue in the comments section below and provide your name and contact information.
Yes No

Comments/Suggestions for Improvement:

The following fields are optional unless you have requested a response, above.

Your Name:

Your E-mail Address or Daytime Telephone Number:

 

 

Updated January 17, 2008 | Contact Webmaster
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