ADEQ Satisfaction Survey

In an ongoing effort to improve our customer service, ADEQ would appreciate your evaluation of the service your recently received. Please take a moment to complete and return this survey. ADEQ welcomes your feedback and comments!

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* 1. Date of your ADEQ experience:

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* 2. Tell us about your experience. Why did you contact us? With whom did you speak?

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* 3. Service Rating:

	Yes	No	N/A
Were we helpful to you?	Were we helpful to you? Yes	Were we helpful to you? No	Were we helpful to you? N/A
Did you receive friendly, professional service?	Did you receive friendly, professional service? Yes	Did you receive friendly, professional service? No	Did you receive friendly, professional service? N/A
Did you receive a response within 5 business days?	Did you receive a response within 5 business days? Yes	Did you receive a response within 5 business days? No	Did you receive a response within 5 business days? N/A
Were our answers sufficient for your needs?	Were our answers sufficient for your needs? Yes	Were our answers sufficient for your needs? No	Were our answers sufficient for your needs? N/A

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* 4. Please comment on your answers above.

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* 5. Is there anything more we could have done to improve our service or your impression of our agency?

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* 6. If you would like to discuss your comments, please provide your:

Name:

Email:

Thank you for taking the time to complete our survey and helping us to improve our customer service.