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* 1. What was your reason for contacting or visiting our office today?

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* 2. How would you rate the customer service you received?

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* 3. If your interaction with our office today was through our telephone system, which statement best reflects your experience with the auto-attendant?

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* 4. Please rate the level of service you received in the following areas:

  Poor Average Good Excellent
Wait time for assistance
Professionalism & Helpfulness
Knowledge of staff
Staff listened to my concerns
Staff treated me in a fair & respectful manner

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* 5. What did you like or dislike most about the service you received?

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* 6. If your visit or call was related to a protest or value question, are you satisfied with the outcome?

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* 7. If you were dissatisfied with your level of service, would you like a supervisor to contact you?

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* 8. Contact Information:

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