• General Response Form
• Customer Satisfaction Survey
• Performance Survey
• Flood Survey




 
 
    Survey Form - General Response Form
 
Briefly describe your feedback regarding the service that you have received from the Division of Water Pollution Control.

· How often do you have sewer backup? · WPC's response to your service Request?
 
During Storm
All the time
Never
 
Poor
Satisfactory
Good
Excellent
· Customer Service Rep's response to your service Request? · Maintenance crew quickly solved problem?
 
Poor
Satisfactory
Good
Excellent
 
Poor
Satisfactory
Good
Excellent
 
Comments
 
Fill in your Personal Details :
Fields marked with asterisk (*) are mandatory.
Contact Name *
Address1
Address2
City
State/Prov
Country
Zip/Post. code
Phone *
E-mail *
 
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