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!

1. Date of your ADEQ experience:

Date of your ADEQ experience:

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

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

3. Service Rating:

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

4. Please comment on your answers above.

Please comment on your answers above.

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

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

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

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.

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