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

· How do you rate the courteousness of Customer service representative? · How do you rate the knowledge of Customer service representative?
 
Poor
Satisfactory
Good
Excellent
 
Poor
Satisfactory
Good
Excellent
 
· How do you rate the overall wait time of your call? · How do you rate the overall clarity of the information explained by the customer service representative?
 
Poor
Satisfactory
Good
Excellent
 
Poor
Satisfactory
Good
Excellent
 
· Comments
 
 
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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