San Mateo County Cares...about providing excellent and courteous public service. We would like to know if we are succeeding and how we can do better. Please take a moment to complete this survey.

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* 1. Which service are you providing feedback for:

Road Maintenance: (pothole repair, vegetation trimming, drainage cleanout, general questions regarding maintenance...)

Traffic: (sign replacement, speed imits, parking, general questions regarding traffic...)

Permits: (building permits, encroachment permits, questions about easements, general questions about private improvements...)

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* 2. Please enter below the services provided (pothole repair, sign replacement, building permit...)

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* 3. Please rate the following:

	Excellent	Good	Fair	Poor	N/A
Response time	Response time Excellent	Response time Good	Response time Fair	Response time Poor	Response time N/A
Courtesy of staff	Courtesy of staff Excellent	Courtesy of staff Good	Courtesy of staff Fair	Courtesy of staff Poor	Courtesy of staff N/A
Knowledge of staff assisting you	Knowledge of staff assisting you Excellent	Knowledge of staff assisting you Good	Knowledge of staff assisting you Fair	Knowledge of staff assisting you Poor	Knowledge of staff assisting you N/A
Helpfulness of information-written	Helpfulness of information-written Excellent	Helpfulness of information-written Good	Helpfulness of information-written Fair	Helpfulness of information-written Poor	Helpfulness of information-written N/A
Helpfulness of information-verbal	Helpfulness of information-verbal Excellent	Helpfulness of information-verbal Good	Helpfulness of information-verbal Fair	Helpfulness of information-verbal Poor	Helpfulness of information-verbal N/A
Staff availability	Staff availability Excellent	Staff availability Good	Staff availability Fair	Staff availability Poor	Staff availability N/A
Information about process	Information about process Excellent	Information about process Good	Information about process Fair	Information about process Poor	Information about process N/A
Appropriate follow-up	Appropriate follow-up Excellent	Appropriate follow-up Good	Appropriate follow-up Fair	Appropriate follow-up Poor	Appropriate follow-up N/A
Overall satisfaction with the service	Overall satisfaction with the service Excellent	Overall satisfaction with the service Good	Overall satisfaction with the service Fair	Overall satisfaction with the service Poor	Overall satisfaction with the service N/A

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* 4. If you answered FAIR or Poor to any of the previous questions, please indicate what was unsatisfactory about the service:

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* 5. In order for us to improve our service, we would appreciate your comments and suggestions:

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* 6. If you would like to recognize an employee who provided excellent service, please indicate their name and how they assisted you:

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* 7. Please enter the following information (optional):

Name

Address

City

Telephone

Thank you for your comments!