Vital Records Customer Service Survey

Please take a few moments to complete this survey to let us know how we did.

Question Title

* Receipt Number

Question Title

* How did you request the information you wanted?

Mail

Walk-in

Online (VitalChek)

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* What service(s) did we provide?

Copy of a birth certificate

Copy of a death certificate

Copy of a marriage license

Adoption

Correction or change to a certificate

Filing of a delayed certificate

Other (please specify)

Question Title

* Please rate how well we served you:

	Excellent	Good	Average	Below Average	Poor
TIMELINESS (Quick service, responsiveness)	TIMELINESS (Quick service, responsiveness) Excellent	TIMELINESS (Quick service, responsiveness) Good	TIMELINESS (Quick service, responsiveness) Average	TIMELINESS (Quick service, responsiveness) Below Average	TIMELINESS (Quick service, responsiveness) Poor
CONVENIENCE (Ease in accessing/using our services)	CONVENIENCE (Ease in accessing/using our services) Excellent	CONVENIENCE (Ease in accessing/using our services) Good	CONVENIENCE (Ease in accessing/using our services) Average	CONVENIENCE (Ease in accessing/using our services) Below Average	CONVENIENCE (Ease in accessing/using our services) Poor
STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well)	STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well) Excellent	STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well) Good	STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well) Average	STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well) Below Average	STAFF PROFESSIONALISM (Courteous, friendly, patient, listens well) Poor
STAFF KNOWLEDGE (Technical understanding, ability to answer questions)	STAFF KNOWLEDGE (Technical understanding, ability to answer questions) Excellent	STAFF KNOWLEDGE (Technical understanding, ability to answer questions) Good	STAFF KNOWLEDGE (Technical understanding, ability to answer questions) Average	STAFF KNOWLEDGE (Technical understanding, ability to answer questions) Below Average	STAFF KNOWLEDGE (Technical understanding, ability to answer questions) Poor
ACCURACY (Services provided correctly THE FIRST/EVERY time)	ACCURACY (Services provided correctly THE FIRST/EVERY time) Excellent	ACCURACY (Services provided correctly THE FIRST/EVERY time) Good	ACCURACY (Services provided correctly THE FIRST/EVERY time) Average	ACCURACY (Services provided correctly THE FIRST/EVERY time) Below Average	ACCURACY (Services provided correctly THE FIRST/EVERY time) Poor
SATISFACTION (Overall satisfaction with our services)	SATISFACTION (Overall satisfaction with our services) Excellent	SATISFACTION (Overall satisfaction with our services) Good	SATISFACTION (Overall satisfaction with our services) Average	SATISFACTION (Overall satisfaction with our services) Below Average	SATISFACTION (Overall satisfaction with our services) Poor

Question Title

* What can we do better? Please feel free to share any other comments.

Thank you! We appreciate your feedback!