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2. Records Division Customer Survey
   We pride ourselves on providing high quality customer service. We can only do this with your honest evaluation. By completing this form, you help us to serve you better.
5. Date of service or contact:*
   Date of service or contact:
6. Name(s) of person(s) who assisted you:
8. Please Rate Us in the Following Areas:
10. Convenience of customer service hours
    -- Select One --Not ApplicableExcellentGoodAverageBelow AveragePoor
11. Amount of time before you were assisted
    -- Select One --Not ApplicableExcellentGoodAverageBelow AveragePoor
12. Courtesy and professionalism of personnel
    -- Select One --Not ApplicableExcellentGoodAverageBelow AveragePoor
14. Responsiveness to your needs
    -- Select One --Not Applicable ExcellentGoodAverageBelow AveragePoor
15. Overall satisfaction with our service
    -- Select One --Excellent GoodAverageBelow AveragePoor
17. If rating our service less than "Good," please tell us why:
19. Additional comments or suggestions:
21. Would you like to be contacted regarding this survey?

    1. Yes
    2. No
23. If you checked "Yes" then complete the below fields:
25. First Name
26. Last Name
27. Phone Number
29. Thank you for taking the time to complete this survey....your input is valuable to us!
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field