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Customer Satisfaction Survey – General
1.
How satisfied are you with agency staff, including employee courtesy and knowledge, and whether staff members introduced themselves?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
2.
How satisfied are you with the agency’s facilities, including your ability to access the agency offices?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
3.
How satisfied are you with agency communications, including telephone access, the average time you spend on hold, call transfers, access to a live person, mail, and email?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
4.
How satisfied are you with the agency’s website, including the ease of use, mobile access, and information available through the site such as a listing of services and contact information?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
5.
How satisfied are you with the agency’s complaint handling process, including ease to file a complaint and whether responses are timely?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
6.
How satisfied are you with the agency’s ability to timely serve you, including the amount of time you wait for service in person?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
7.
How satisfied are you with any agency brochures or other printed information?
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
8.
Please rate your overall satisfaction with the agency.
5-Very satisfied
4-Satisfied
3-Neutral
2-Unsatisfied
1-Very unsatisfied
N/A - Not applicable
9.
Please share any additional feedback. If you want to be contacted about your customer service experience, please provide your information.
Feedback
Name
Email
Phone number
City
Current Progress,
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