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City of Belton Customer Satisfaction Survey
City of Belton Customer Satisfaction Survey
We anticipate this survey will take less than two minutes to complete. We value and appreciate your time.
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1.
What date did you contact the City of Belton?
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
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2.
Which department did you contact?
(Required.)
Department
Please select:
City Hall
Finance
Fire Department
Human Resources
Library
Municipal Court
Parks and Recreation
Planning Department
Police Department
Public Works
Utility Billing
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3.
Which of the following best describes you?
(Required.)
Business Owner/Manager
Citizen/Resident
Consultant - Contractor
Staff
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4.
Briefly describe your reason for contact (Example: Project Name, Inquiry, Address).
(Required.)
*
5.
Who helped you?
(Required.)
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6.
Please rate our staff on the following, where A=Excellent and F=Poor.
(Required.)
A
B
C
D
F
N/A
Respectful
A
B
C
D
F
N/A
Knowledgeable
A
B
C
D
F
N/A
Professional
A
B
C
D
F
N/A
Friendly
A
B
C
D
F
N/A
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7.
How well did our staff do the following, where A=Excellent and F=Poor?
(Required.)
A
B
C
D
F
N/A
Communicate information clearly
A
B
C
D
F
N/A
Listen to your concern
A
B
C
D
F
N/A
Respond in a reasonable amount of time
A
B
C
D
F
N/A
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8.
Please rate your overall experience with our department, where A=Excellent and F=Poor.
(Required.)
A
B
C
D
F
N/A
A
B
C
D
F
N/A
9.
Please provide any additional comments, information, and or suggestions.
*
10.
Please provide your ZIP code:
(Required.)
Current Progress,
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