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* 1. Please tell us the date of your customer service experience with municipal staff:

Date

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* 2. Please tell which department you dealt with

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* 3. Please describe your experience

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* 4. Overall, I was satisfied with the amount of time it took to get the service I needed

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* 5. I was satisfied with the overall quality of the service delivered

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* 6. Staff were knowledgeable

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* 7. How can we improve on our Service

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* 8. Would you like a representative to follow up with you regarding your feedback?

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* 9. Full Name

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* 10. Phone Number (ex. 999-999-9999)

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* 11. Email Address

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