Customer Satisfaction Survey

1. In an effort to better serve our customers, we would appreciate your taking a few minutes to complete this survey describing your experience at this department. Please answer the following questions and submit the form. Your comments will be forwarded to the County Administrator's office.

2. Are you completing this survey as a:*
   1. Visitor
   2. Part Time Resident
   3. Full Time Resident
   4. County Employee

3. Please indicate the Department and area of the Keys you visited.*

4. What day did you visit? (Please use mm/dd/yyyy Format)*

5. What time did you visit?*

6. Were you greeted in a friendly, professional manner?
   1. Strongly Agree
   2. Agree
   3. Disagree
   4. Strongly Disagree
7. How long did you wait for assistance?*
   -- Select One --Less than 5 Minutes5-10 Minuies10-15 MinutesMore than 15 Minutes

8. Was the staff that assisted you knowledge?

9. Was the staff that assisted you knowledgeable?*
   -- Select One --Stronly AgreeAgreeDisagreeStrongly Disagree

10. Did staff provide you with the assistance you requested?
    1. Yes
    2. No
11. If no, were you referred to another source for that information?
    1. Yes
    2. No
12. Please rate the level of service for that information?
    1. Courteous
    2. Responsive
    3. Overall
    4. Thorough
13. What was the purpose of your visit?*
    -- Select One --To resolve a complaint/problem/issueTo establish a new serviceTo request informationTo receive materialsTo pay a fee/fine

14. Was there anything we could have done to improve services at this visit? *

15. If you would like to be contacted, please provide name, phone number, or email (all optional). *

Leave This Blank:


16. 1. Receive email copy
17. Email address

18. Submit

* indicates a required field