EVALUATION SURVEYEVALUATION SURVEY

Completing this short survey will help the Department of Toxic Substances Control (DTSC) measure and report the level and quality of service provided to you, and to continually improve our performance. Please take a few minutes to rate and comment on the support you received.

1. Please share with us information about your most recent contact with DTSC.
Was your contact:

Please share with us information about your most recent contact with DTSC. Was your contact: Over the phone

At a meeting

In writing (You received information from DTSC, or sent correspondence to DTSC)

Through the DTSC Web site

Other (please specify)

2. Please tell us if the information was:

	Completely	Quite a bit	Somewhat	Not at all
Presented and shared with consideration and respect	*Please tell us if the information was: Presented and shared with consideration and respect Completely	Presented and shared with consideration and respect Quite a bit	Presented and shared with consideration and respect Somewhat	Presented and shared with consideration and respect Not at all
Clear and easily understood	Clear and easily understood Completely	Clear and easily understood Quite a bit	Clear and easily understood Somewhat	Clear and easily understood Not at all
The information you needed	The information you needed Completely	The information you needed Quite a bit	The information you needed Somewhat	The information you needed Not at all

3. Do you feel that DTSC:

	Completely	Quite a bit	Somewhat	Not at all
Provided full and sufficient opportunity for your input and ideas	*Do you feel that DTSC: Provided full and sufficient opportunity for your input and ideas Completely	Provided full and sufficient opportunity for your input and ideas Quite a bit	Provided full and sufficient opportunity for your input and ideas Somewhat	Provided full and sufficient opportunity for your input and ideas Not at all
Provided enough information and time about activities to allow you to offer input to DTSC	Provided enough information and time about activities to allow you to offer input to DTSC Completely	Provided enough information and time about activities to allow you to offer input to DTSC Quite a bit	Provided enough information and time about activities to allow you to offer input to DTSC Somewhat	Provided enough information and time about activities to allow you to offer input to DTSC Not at all
Provided a clear explanation for decisions that are made	Provided a clear explanation for decisions that are made Completely	Provided a clear explanation for decisions that are made Quite a bit	Provided a clear explanation for decisions that are made Somewhat	Provided a clear explanation for decisions that are made Not at all

4. How well does DTSC resolve the issues that matter to you?

How well does DTSC resolve the issues that matter to you? Completely

Quite a bit

Somewhat

Not at all

5. If you have suggestions for DTSC, what would they be?

If you have suggestions for DTSC, what would they be?

Thank you for your feedback. This is an important part of continually improving our service to you!