OEHS Service Feedback Survey

How Was Your Experience With OEHS?

100%

The Office of Environmental Health and Safety is committed to monitoring the quality of the services we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (While all submissions are anonymous, if you would like us to contact you regarding your own experience with OEHS, please enter your contact information in item #6 below.)

1. Purpose of Contact (select one):

Purpose of Contact (select one): Injury/Illness

Complaint

Hazard

Emergency

Training

Documentation or Information

Technical Assistance or Advice

Other

If Other, Please Specify or Make Additional Comments

2. Please rate the following aspects of our work.

	Excellent	Good	Adequate	Poor	Unacceptable	N/A
Communicated clearly and effectively	*Please rate the following aspects of our work. Communicated clearly and effectively Excellent	Communicated clearly and effectively Good	Communicated clearly and effectively Adequate	Communicated clearly and effectively Poor	Communicated clearly and effectively Unacceptable	Communicated clearly and effectively N/A
Worked with you and your team	Worked with you and your team Excellent	Worked with you and your team Good	Worked with you and your team Adequate	Worked with you and your team Poor	Worked with you and your team Unacceptable	Worked with you and your team N/A
Responded promptly to problems	Responded promptly to problems Excellent	Responded promptly to problems Good	Responded promptly to problems Adequate	Responded promptly to problems Poor	Responded promptly to problems Unacceptable	Responded promptly to problems N/A
Met defined objectives	Met defined objectives Excellent	Met defined objectives Good	Met defined objectives Adequate	Met defined objectives Poor	Met defined objectives Unacceptable	Met defined objectives N/A
OEHS Website Ease of Use	OEHS Website Ease of Use Excellent	OEHS Website Ease of Use Good	OEHS Website Ease of Use Adequate	OEHS Website Ease of Use Poor	OEHS Website Ease of Use Unacceptable	OEHS Website Ease of Use N/A

Comments?

3. Overall, how do you rate the quality of services we provide?

Overall, how do you rate the quality of services we provide? Excellent	Good	Adequate	Poor
Comments?

4. What level of confidence do you have in us to deliver services that you require?

What level of confidence do you have in us to deliver services that you require? Complete	A lot	Some	Little	None
Comments?

5. If you have any suggestions or comments regarding how we could improve the services we provide to you, please enter them in the box below.

If you have any suggestions or comments regarding how we could improve the services we provide to you, please enter them in the box below.

6. If you wish to be contacted, please leave your contact information. (Not viewable by other Survey Responders)

If you wish to be contacted, please leave your contact information. (Not viewable by other Survey Responders) Name:
Email Address:
Phone Number:

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