Customer Service Survey

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Reason for your visit or call:

Please rate the level of service you received:

Wait time for assistance: ExcellentGoodNeeds ImprovementUnsatisfactory
Professionalism and helpfulness: ExcellentGoodNeeds ImprovementUnsatisfactory
Knowledge of staff: ExcellentGoodNeeds ImprovementUnsatisfactory
Staff listened to my concerns: ExcellentGoodNeeds ImprovementUnsatisfactory
Staff treated me in a fair manner: ExcellentGoodNeeds ImprovementUnsatisfactory

What did you like the most about the service you received, and how could our service be improved?

If your visit or call was due to a protest or value question, are you satisfied with your value?

YesNo

Would you like someone to contact you regarding the level of service you received?

YesNo

Name:

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