Customer Service Survey

2. Customer Service Survey
   Our goal is to provide you with the best customer service possible! Please take a moment to fill out our Customer Satisfaction Survey to let us know how we are doing and what you would like to see improved.

   Our goal is to provide you with the best customer service possible! Please take a moment to fill out our Customer Satisfaction Survey to let us know how we are doing and what you would like to see improved.

4. Are you a first-time customer?

   1. Yes

   1. No

6. How did you contact us?

   1. Email

   1. In Person

   1. Mail

   1. Telephone

8. What was the nature of your business?

10. Whom did you talk to?

12. Quality of Communications

    1. Excellent
    2. Good
    3. Average
    4. Poor

14. What was the amount of time spent with the staff?

16. Time Expectation

    1. Less than I expected
    2. About what I expected
    3. More than I expected

18. Overall Rating

    1. Excellent
    2. Good
    3. Average
    4. Poor

20. Professional Rating

    1. Excellent
    2. Good
    3. Average
    4. Poor

22. Describe any improvements that are needed.

24. Contact Name (Optional)

26. Contact Email (Optional)

28. Contact Phone Number (Optional)

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field