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Customer Satisfaction Survey
*
1.
What is the approximate date of your visit/service?
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
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2.
Are you a resident of Walton County
(Required.)
Yes
No
*
3.
Overall, how would you rate the quality of your visit/service experience?
(Required.)
1 star
2 stars
3 stars
4 stars
5 stars
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4.
How were you assisted?
(Required.)
In-Person
Phone
Email
*
5.
What department assisted you?
(Required.)
Administration Office
Building Department
Code Enforcement
Emergency Management
Facilities/Maintenance
GIS Department
HUD/Section 8
Human Resources
Landfill
Legal/County Attorney
Library System
Mosquito Control
Office of Management and Budgets
Parks and Recreation
Planning Department
Public Works Department
Tourist Development Council
Veteran's Services
Other (please specify)
6.
What is the name(s) of the staff that assisted you?
*
7.
How professional was the staff that assisted you?
(Required.)
Extremely professional
Very professional
Somewhat professional
Not so professional
Not at all professional
*
8.
How well did we understand your questions or concerns?
(Required.)
Extremely Well
Very Well
Somewhat Well
Not so Well
Not at All
*
9.
How much time did it take to address your questions or concerns?
(Required.)
Much Shorter than Expected
Shorter than Expected
About what I Expected
Longer than Expected
Much Longer than Expected
Did not Receive a Response
*
10.
How knowledgeable was the person who assisted you?
(Required.)
Extremely Knowledgeable
Very Knowledgable
Somewhat Knowledgable
Not so Knowledgable
No Knowledge at All
11.
Please provide us with any additional information about your experience that you feel will be valuable or will assist us in improving our services.
12.
If you would like to provide your name for the record, or if you would like to receive a follow-up response, please provide us with the following information.
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number