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Customer Feedback Management System for Morton County

1.Date of Feedback?(Required.)
Date
2.What was the date and time of the event?(Required.)
Date / Time
Time
:
3.What is your name?
(If anonymous, please write, "Anonymous")(Required.)
4.What is the best way to contact you?  What telephone number, home address or email address would you like to use?(Required.)
5.What department would you like to provide feedback on?
6.What service were you seeking?(Required.)
7.Was the Team Member assisting you (check the boxes that apply)...
8.What did the County do well?
9.How could the County have served you better?
10.How would you like to see this feedback resolved?
11.What other information would you like to share?(Required.)