Exit Customer Satisfaction Survey Question Title * 1. What is the approximate date of your visit/service? Date / Time Date Question Title * 2. Are you a resident of Walton County Yes No Question Title * 3. Overall, how would you rate the quality of your visit/service experience? Question Title * 4. How were you assisted? In-Person Phone Email Question Title * 5. What department assisted you? Administration Office Building Department Code Enforcement Emergency Management Facilities/Maintenance GIS Department HUD/Section 8 Human Resources Landfill Legal/County Attorney Library System Mosquito Control Office of Management and Budgets Parks and Recreation Planning Department Public Works Department Tourist Development Council Veteran's Services Other (please specify) Question Title * 6. What is the name(s) of the staff that assisted you? Question Title * 7. How professional was the staff that assisted you? Extremely professional Very professional Somewhat professional Not so professional Not at all professional Question Title * 8. How well did we understand your questions or concerns? Extremely Well Very Well Somewhat Well Not so Well Not at All Question Title * 9. How much time did it take to address your questions or concerns? Much Shorter than Expected Shorter than Expected About what I Expected Longer than Expected Much Longer than Expected Did not Receive a Response Question Title * 10. How knowledgeable was the person who assisted you? Extremely Knowledgeable Very Knowledgable Somewhat Knowledgable Not so Knowledgable No Knowledge at All Question Title * 11. Please provide us with any additional information about your experience that you feel will be valuable or will assist us in improving our services. Question Title * 12. If you would like to provide your name for the record, or if you would like to receive a follow-up response, please provide us with the following information. Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Done
