Resilience and Public Works Customer Satisfaction Survey

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1. Date of your visit / request

Date / Time

Date

Time

AM/PM

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2. Reason for visit /contact:

Right-of-Way Permits (Right-of-Way Closure, Right-of-Way Utility, Sidewalk Cafe)

National Pollution Discharge Elimination System/ Stormwater/ Drainage

Development and Roadway Plans Review

Survey

Maintenance Operations

Transportation / Traffic Engineering

Right-of-Way Aesthetics / Beautification

Other (please specify)

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3. If you contacted the department by phone, how long was your wait on hold?

0-5 minutes

5-10 minutes

Over 10 minutes

Not Applicable, Don't Know, or Unsure

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4. If you contacted the department by email, how long did it take to receive a response?

Within 6 hours

1 day

2 days

Longer (3 or more days)

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5. Did staff deliver the results and quality that were expected?

Less than expected

As expected

More than expected

Consistently more

Less than expected

As expected

More than expected

Consistently more

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6. Please rate the following qualities of how we assisted you on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

	1	2	3	4	5
Helpfulness	Helpfulness 1	Helpfulness 2	Helpfulness 3	Helpfulness 4	Helpfulness 5
Politeness	Politeness 1	Politeness 2	Politeness 3	Politeness 4	Politeness 5
Professionalism	Professionalism 1	Professionalism 2	Professionalism 3	Professionalism 4	Professionalism 5
Promptness	Promptness 1	Promptness 2	Promptness 3	Promptness 4	Promptness 5
Knowledge	Knowledge 1	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5

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7. Please rate the overall satisfaction with the service you received on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

	1	2	3	4	5
Rating:	Rating: 1	Rating: 2	Rating: 3	Rating: 4	Rating: 5

Question Title

* 1. Date of your visit / request

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* 2. Reason for visit /contact:

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* 3. If you contacted the department by phone, how long was your wait on hold?

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* 4. If you contacted the department by email, how long did it take to receive a response?

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* 5. Did staff deliver the results and quality that were expected?

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* 6. Please rate the following qualities of how we assisted you on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

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* 7. Please rate the overall satisfaction with the service you received on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

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* 8. Do you have any other comments, questions or concerns?

1. Date of your visit / request

2. Reason for visit /contact:

3. If you contacted the department by phone, how long was your wait on hold?

4. If you contacted the department by email, how long did it take to receive a response?

5. Did staff deliver the results and quality that were expected?

6. Please rate the following qualities of how we assisted you on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

7. Please rate the overall satisfaction with the service you received on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

8. Do you have any other comments, questions or concerns?