City of Clevelad
Division of Water Pollution Control

Customer Service Call Survey

Your Name*
Your Email*
Your Address
Phone Number
Service Date & Time
Service Received*
Customer Service Rep.
Customer Service Rating
1=Poor 2=Satisfactory 3=Good 4=Excellent
1. Rate the courteousness of the Water Pollution Control Customer Service Representative (CSR).  1 2 3 4
2. Rate the promptness of your call being answered.  1 2 3 4
3. Rate the CSR's ability to provide clear and thorough information.  1 2 3 4
4. Rate your overall experience with the CSR.  1 2 3 4


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