Customer Service Evaluation Form

ALAMEDA COUNTY ASSESSOR

Your opinion is important to us. We expect our employees to serve the public courteously and efficiently. Please take a few minutes and let us know how we're doing. All fields are optional and anonymous if desired. Thank you!

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* 1. What was your primary reason for calling or visiting the Assessor's Office?

Other (please provide details in Comments)

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* 2. Name of Employee providing assistance

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* 3. Date of Visit or call to our office

Date / Time

Date

Time

AM/PM

If an Appraiser or Auditor-Appraiser visited your property or place of business, please specify:

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* 4. Appraiser or Auditor-Appraiser Name

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* 5. Date of Visit to your property or business

Date

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* 6. Tell us how you'd rate the quality of our service.

	N/A	Outstanding	Good	Average	Fair	Poor
Promptness	Promptness N/A	Promptness Outstanding	Promptness Good	Promptness Average	Promptness Fair	Promptness Poor
Courtesy	Courtesy N/A	Courtesy Outstanding	Courtesy Good	Courtesy Average	Courtesy Fair	Courtesy Poor
Efficiency	Efficiency N/A	Efficiency Outstanding	Efficiency Good	Efficiency Average	Efficiency Fair	Efficiency Poor
Information	Information N/A	Information Outstanding	Information Good	Information Average	Information Fair	Information Poor
Overall	Overall N/A	Overall Outstanding	Overall Good	Overall Average	Overall Fair	Overall Poor

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

Thank you for completing the Customer Service Evaluation Form. Your feedback will help us to improve the quality of our service. No personal information will be stored in relation to this survey unless you ask us to contact you.

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* 8. Would you like to be contacted?

Yes - feel free to fill out information below.

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* 9. Optional Contact Information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number