Exit this survey Oxford County Feedback Form Please provide us with your feedback. What service/information did you require? Question Title * 1. What service/information did you require? What date was the service/information requested? Question Title * 2. What date was the service/information requested? Were you treated with courtesy? Question Title * 3. Were you treated with courtesy? Yes No Was the service/information provided easy to obtain? Question Title * 4. Was the service/information provided easy to obtain? Yes No Was the service/information provided to you easy to understand? Question Title * 5. Was the service/information provided to you easy to understand? Yes No Were you satisfied with the service/information provided? Question Title * 6. Were you satisfied with the service/information provided? Yes No Were your accessibility issues needs met? Question Title * 7. Were your accessibility issues needs met? Yes No Not Applicable Please explain: Would you like to be contacted by an Oxford County employee to discuss your experience? Question Title * 8. Would you like to be contacted by an Oxford County employee to discuss your experience? Yes No Did an Oxford County employee assist with the completion of this form? Question Title * 9. Did an Oxford County employee assist with the completion of this form? Yes No Employee’s name: Question Title * 10. Employee’s name: Your feedback is important to us to ensure that we provide valuable service to meet the needs of residents, stakeholders and employees of the County and municipalities. Please provide us your comments. Question Title * 11. Your feedback is important to us to ensure that we provide valuable service to meet the needs of residents, stakeholders and employees of the County and municipalities. Please provide us your comments. Name (optional) Question Title * 12. Name (optional) Phone Number (optional) Question Title * 13. Phone Number (optional) E-Mail (optional) Question Title * 14. E-Mail (optional) Done
