Customer Satisfaction Survey

Question Title

1. What is the approximate date of your visit/service? (Required.)

Date / Time

Date

Question Title

2. Are you a resident of Walton County (Required.)

Yes

Question Title

3. Overall, how would you rate the quality of your visit/service experience? (Required.)

Question Title

4. How were you assisted? (Required.)

In-Person

Phone

Question Title

5. What department assisted you? (Required.)

Question Title

6. What is the name(s) of the staff that assisted you?

Question Title

7. How professional was the staff that assisted you? (Required.)

Extremely professional

Very professional

Somewhat professional

Not so professional

Not at all professional

Question Title

8. How well did we understand your questions or concerns? (Required.)

Extremely Well

Very Well

Somewhat Well

Not so Well

Not at All

Question Title

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

Question Title

10. How knowledgeable was the person who assisted you? (Required.)

Extremely Knowledgeable

Very Knowledgable

Somewhat Knowledgable

Not so Knowledgable

No Knowledge at All

Question Title

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.

Question Title

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

Customer Satisfaction Survey

Question Title

* 1. What is the approximate date of your visit/service? (Required.)

Question Title

* 2. Are you a resident of Walton County (Required.)

Question Title

* 3. Overall, how would you rate the quality of your visit/service experience? (Required.)

Question Title

* 4. How were you assisted? (Required.)

Question Title

* 5. What department assisted you? (Required.)

Question Title

* 6. What is the name(s) of the staff that assisted you?

Question Title

* 7. How professional was the staff that assisted you? (Required.)

Question Title

* 8. How well did we understand your questions or concerns? (Required.)

Question Title

* 9. How much time did it take to address your questions or concerns? (Required.)

Question Title

* 10. How knowledgeable was the person who assisted you? (Required.)

Question Title

* 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.

Question Title

* 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.

1. What is the approximate date of your visit/service? (Required.)

2. Are you a resident of Walton County (Required.)

3. Overall, how would you rate the quality of your visit/service experience? (Required.)

4. How were you assisted? (Required.)

5. What department assisted you? (Required.)

6. What is the name(s) of the staff that assisted you?

7. How professional was the staff that assisted you? (Required.)

8. How well did we understand your questions or concerns? (Required.)

9. How much time did it take to address your questions or concerns? (Required.)

10. How knowledgeable was the person who assisted you? (Required.)

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.