Feedback Form

We strive to provide excellent customer service. We encourage you to share your experience. Your comments are anonymous and are sent directly to our board of directors for their review. You may choose to provide your name, email, and phone number at the end of the form. Thank you for sharing your feedback.

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* 1. Visit Date

Please share the date you worked with our staff.

Date

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* 2. Staff Member Name

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* 3. How would you rate your experience?

poor

fair

good

great

excellent

poor

fair

good

great

excellent

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* 4. Please share your experience with our staff member.

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* 5. What could we do to improve your experience?

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* 6. May we share your comments with our staff?

Yes

No

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* 7. Would you prefer to remain annonymous?

Yes

No

Your name

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* 8. Would you like an Ely Chamber of Commerce Board of Director to contact you to discuss your experience further?

Yes

No

If yes, please provide your name, email, and phone number.