CUSTOMER CARE SURVEY 2020

On a scale of 1 to 5, please rate the service you received(1 being poor and 5 being excellent)

Date of Interaction

Date

Time of Interaction

Hour

Minutes

Which location did you visit?

What was the purpose of your visit?

How long was your wait time?

No Wait

Less than 10 minutes

10-20 minutes

20-30 minutes

More than 30 minutes

Did you receive the information you needed?

YESNO

On a scale of 1 to 5, please rate the cleanliness of the location visited(1 being poor and 5 being excellent)

Tell us what we did right and, if possible, identify any specific member of our staff that provided you with excellent customer service.

Tell us how we can improve.

If you would like us to respond to your comments or concerns, please provide your contact information.

NAME

PHONE NUMBER

Thank You!

We appreciate your willingness to share your experience. Please click submit to complete the survey.