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Charlotte Water Customer Feedback
Survey
1.
What method of contact describes your interaction
with Charlotte Water?
Phone
In-Person
Email
Letter/Door Hanger
Web Portal
Other (please specify)
2.
Date of Service
Type or Select Calendar
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
3.
What service did you receive? Select one.
Water Turn On
Water Turn Off
Meter Reading
High Bill Inspection
Water Line Repair
Water Quality
Water Meter Inspection/Flow Test Inspection
Equipment Replacement
Water/Sewer Installation
Sanitary Sewer Repair/Backup
Pre-Billing Quality Assurance Inspection
Billing Portal
Other (please specify)
*
4.
How satisfied were you with the service that you received? Please select one option: 1 (very dissatisfied), 2 (dissatisfied), 3 (neither satisfied or dissatisfied), 4 (satisfied) or 5 (very satisfied).
(Required.)
1
2
3
4
5
5.
Comments:
6.
Names of Charlotte Water staff members(s) who assisted you:
7.
Contact Information (optional)
Name:
Address:
Email:
Phone:
