Resilience and Public Works Customer Satisfaction Survey

Question Title

* 1. Date of your visit / request

Date / Time

Date

Time

AM/PM

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* 2. Reason for visit /contact:

Right-of-Way Permits (Right-of-Way Closure, Right-of-Way Utility, Sidewalk Cafe)

National Pollution Discharge Elimination System/ Stormwater/ Drainage

Development and Roadway Plans Review

Survey

Maintenance Operations

Transportation / Traffic Engineering

Right-of-Way Aesthetics / Beautification

Other (please specify)

Question Title

* 3. If you contacted the department by phone, how long was your wait on hold?

0-5 minutes

5-10 minutes

Over 10 minutes

Not Applicable, Don't Know, or Unsure

Question Title

* 4. If you contacted the department by email, how long did it take to receive a response?

Within 6 hours

1 day

2 days

Longer (3 or more days)

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* 5. Did staff deliver the results and quality that were expected?

Less than expected

As expected

More than expected

Consistently more

Less than expected

As expected

More than expected

Consistently more

Question Title

* 6. Please rate the following qualities of how we assisted you on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

	1	2	3	4	5
Helpfulness	Helpfulness 1	Helpfulness 2	Helpfulness 3	Helpfulness 4	Helpfulness 5
Politeness	Politeness 1	Politeness 2	Politeness 3	Politeness 4	Politeness 5
Professionalism	Professionalism 1	Professionalism 2	Professionalism 3	Professionalism 4	Professionalism 5
Promptness	Promptness 1	Promptness 2	Promptness 3	Promptness 4	Promptness 5
Knowledge	Knowledge 1	Knowledge 2	Knowledge 3	Knowledge 4	Knowledge 5

Question Title

* 7. Please rate the overall satisfaction with the service you received on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

	1	2	3	4	5
Rating:	Rating: 1	Rating: 2	Rating: 3	Rating: 4	Rating: 5

Question Title

* 1. Date of your visit / request

Question Title

* 2. Reason for visit /contact:

Question Title

* 3. If you contacted the department by phone, how long was your wait on hold?

Question Title

* 4. If you contacted the department by email, how long did it take to receive a response?

Question Title

* 5. Did staff deliver the results and quality that were expected?

Question Title

* 6. Please rate the following qualities of how we assisted you on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

Question Title

* 7. Please rate the overall satisfaction with the service you received on a scale of 1-5, 1 being the lowest (Very Poor) and 5 being the highest (Excellent):

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* 8. Do you have any other comments, questions or concerns?