Madison County Treasurer Customer Satisfaction Survey

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1. Date of Contact: (MM/DD/YYYY)

	MM		DD		YYYY
Date	Date of Contact: (MM/DD/YYYY)   Date   Month	/	Day	/	Year

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2. Type of Contact

	Type of Contact
Type of Contact	Telephone ConversationOffice VisitCommunication via e-mailWebsite Visit Type of Contact   Type of Contact   Type of Contact

3. Staff Member Contacted

Staff Member Contacted

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4. What was the nature of your contact with our office?

What was the nature of your contact with our office?   Property Tax Payment Inquiry Real Estate Tax Inquiry Mobile Home Tax Inquiry Monthly Payment Plan Inquiry Other

Other (please specify)

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5. Did the staff member answer your questions, provide an explanation of the issue or refer you to the appropriate person or department for an answer?

Did the staff member answer your questions, provide an explanation of the issue or refer you to the appropriate person or department for an answer?   Yes No

If NO (please specify)

6. Was your question or issue resolved in a timely manner?

Was your question or issue resolved in a timely manner?   Yes No

If NO (please specify)

7. Please rate the service you received

Please rate the service you received   Excellent Above Average Average Below Average Unsatisfactory

Comments

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8. Would you like a member of our staff to contact you regarding this issue?

Would you like a member of our staff to contact you regarding this issue?   Yes No

9. Contact Information

Contact Information   Name:
Daytime Phone:
E-mail Address:

10. Would you like to receive e-mail alerts regarding important due dates and deadlines?

Would you like to receive e-mail alerts regarding important due dates and deadlines?   Yes No