Question Title

* 1. Please enter workers name:

Question Title

* 2. Casename:

Question Title

* 3. Casenumber:

RATING SCALE
1. Unsatisfactory = Doesn’t return phone calls or is unable to reach. Rude, curt or unprofessional. Completely failed to answer questions or make referral to appropriate resource.
2. Needs Improvement = Occasionally unavailable to provide customer service. Exhibits poor customer service skills. Customer service was not delivered to my satisfaction.
3. Achieves Expectations = Customer service inquiry was answered timely and issues resolved. Satisfied.
4. Commendable = Worker pleasant and helpful; skilled in customer service, very satisfied.
5. Exemplary = Courteous and effective, exceptional customer service and response time. Completely satisfied.

Question Title

* 4. How would you rate the staff member delivering customer service?

Question Title

* 5. Were your concerns and/or inquiry addressed timely?

Question Title

* 6. Overall, how would you rate your customer service experience?

Question Title

* 7. Comments:

T