Exit Online Customer Feedback Form 1. Default Section Question Title * 1. What was the nature of your visit or contact with the county? Seeking general information Meeting with a county staff member Applying for a permit Paying a fee, bill or other charge Submitting a plan for review Registering for a service or program Requesting a service Applying for a job Seeking a volunteer position Other (please specify) Question Title * 2. Was your contact: In person Via telephone Using the county website Question Title * 3. Which office/department did you contact? County Administration Community Services Information Technology Finance Fire & Life Safety Public Works Constitutional Officers Please choose one: Board of Supervisors Planning & Development Services Building Regulation Zoning & Code Enforcement County Administrator Economic Development Public Affairs Video Services Real Estate Assessment Please choose one: County Administration menu General Administration Libraries Parks & Recreation Housing & Special Programs Children & Family Services Juvenile Services Tourism Development Please choose one: Community Services menu GIS/Mapping Please choose one: Information Technology menu General Administration Accounting & Financial Reporting Budget Fiscal Accounting Services Central Purchasing Please choose one: Finance menu General Administration Fire & Rescue Operations Prevention & Community Safety Special Operations Emergency Management Animal Control Please choose one: Fire & Life Safety menu General Administration Engineering Construction Inspection Utilities Operations Infrastructure Management Waste Management Stormwater Mosquito Control Fleet Services Facility Maintenance Grounds Maintenance Please choose one: Public Works menu Courts Commissioner of the Revenue Treasurer Sheriff Commonwealth's Attorney Please choose one: Constitutional Officers menu Other (please specify) Question Title * 4. How would you rate your overall experience with the county? Excellent Good Average Poor Question Title * 5. Was staff courteous and helpful? Yes No Question Title * 6. Did we listen attentively to your request? Yes No Question Title * 7. Were you quickly referred to the right person or office to handle your request? Yes No Question Title * 8. Did we thoroughly answer your questions? Yes No Question Title * 9. Did we volunteer information on related questions you didn't know to ask? Yes No N/A Question Title * 10. Was the service or information provided in a timely manner? Yes No Question Title * 11. Did we offer other suggestions or alternatives to assist you? Yes No N/A Question Title * 12. Did we give you our undivided attention while assisting you? Yes No Question Title * 13. Did we follow up with you when necessary? Yes No N/A Question Title * 14. If you answered no to any of the above, please explain. Question Title * 15. Please use the space below for additional comments. Your feedback and input is greatly appreciated. Question Title * 16. Your contact information (optional) Done