City of Belton Customer Satisfaction Survey

City of Belton Customer Satisfaction Survey

We anticipate this survey will take less than two minutes to complete. We value and appreciate your time.

Question Title

1. What date did you contact the City of Belton? (Required.)

Date / Time

Date

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2. Which department did you contact? (Required.)

	Department
Please select:	Please select: Department menu

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3. Which of the following best describes you? (Required.)

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4. Briefly describe your reason for contact (Example: Project Name, Inquiry, Address). (Required.)

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5. Who helped you? (Required.)

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6. Please rate our staff on the following, where A=Excellent and F=Poor. (Required.)

	A	B	C	D	F	N/A
Respectful	Respectful A	Respectful B	Respectful C	Respectful D	Respectful F	Respectful N/A
Knowledgeable	Knowledgeable A	Knowledgeable B	Knowledgeable C	Knowledgeable D	Knowledgeable F	Knowledgeable N/A
Professional	Professional A	Professional B	Professional C	Professional D	Professional F	Professional N/A
Friendly	Friendly A	Friendly B	Friendly C	Friendly D	Friendly F	Friendly N/A

Question Title

7. How well did our staff do the following, where A=Excellent and F=Poor? (Required.)

	A	B	C	D	F	N/A
Communicate information clearly	Communicate information clearly A	Communicate information clearly B	Communicate information clearly C	Communicate information clearly D	Communicate information clearly F	Communicate information clearly N/A
Listen to your concern	Listen to your concern A	Listen to your concern B	Listen to your concern C	Listen to your concern D	Listen to your concern F	Listen to your concern N/A
Respond in a reasonable amount of time	Respond in a reasonable amount of time A	Respond in a reasonable amount of time B	Respond in a reasonable amount of time C	Respond in a reasonable amount of time D	Respond in a reasonable amount of time F	Respond in a reasonable amount of time N/A

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8. Please rate your overall experience with our department, where A=Excellent and F=Poor. (Required.)

A

B

C

D

F

N/A

A

B

C

D

F

N/A

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9. Please provide any additional comments, information, and or suggestions.

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10. Please provide your ZIP code: (Required.)