Montgomery County Clerk of Courts Customer Satisfaction Survey Question Title * 1. Location Visited Huber Heights Auto Title Moraine Auto Title Downtown Dayton Auto Title Centerville Auto Title Clayton Auto Title Municipal Court Eastern Division Municipal Court Western Division Common Pleas Court OK Question Title * 2. Clerk who assisted you today OK Question Title * 3. Date of Visit Date / Time Date OK Question Title * 4. Time of Visit Date / Time Time AM/PM - AM PM OK Question Title * 5. What brings you to the Clerk of Courts Office today? I am an individual bringing a claim or involved in legal action. I am a member of Law Enforcement. I am an attorney or legal professional. My work involves research and investigation (e.g., news, media, private investigator, employer, etc. I need a title or passport. Other (please specify) OK Question Title * 6. Please rate your overall satisfaction of your visit Excellent Good Average Poor Not Applicable Professionalism of Staff Professionalism of Staff Excellent Professionalism of Staff Good Professionalism of Staff Average Professionalism of Staff Poor Professionalism of Staff Not Applicable Helpfulness of Staff Helpfulness of Staff Excellent Helpfulness of Staff Good Helpfulness of Staff Average Helpfulness of Staff Poor Helpfulness of Staff Not Applicable Efficiency of Visit Efficiency of Visit Excellent Efficiency of Visit Good Efficiency of Visit Average Efficiency of Visit Poor Efficiency of Visit Not Applicable Knowledge of Staff Knowledge of Staff Excellent Knowledge of Staff Good Knowledge of Staff Average Knowledge of Staff Poor Knowledge of Staff Not Applicable Overall Experience Overall Experience Excellent Overall Experience Good Overall Experience Average Overall Experience Poor Overall Experience Not Applicable OK Question Title * 7. Would you return to this location again? Yes No OK Question Title * 8. Other Comments/ Suggestions/ etc. OK Question Title * 9. May we contact you to follow up? Name Email Address Phone Number OK THANK YOU FOR YOUR FEEDBACK!