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.

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* 1. What date did you contact the City of Belton?

Date / Time

Date

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* 2. Which department did you contact?

	Department
Please select:	Please select: Department menu

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* 3. Which of the following best describes you?

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

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* 5. Who helped you?

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

	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

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

	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.

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: