Customer Satisfaction Form

Home	Location & Hours	FAQ	Contact	What's New?	Related Links

Customer Satisfaction Survey (Counter Service)
In the Planning Department, we are committed to continuous improvement. It is important to our department that you experience excellent customer service during your visit at our counters while we work to meet your needs. We value your comments and suggestions. Please take a few moments to let us know how we are doing.

Where was your visit?

Santa Cruz: Aptos: Felton:

Who assisted you?

Reception desk: Zoning Counter: Building Counter:
Staff Name(s):

Did you have a prescheduled appointment?

Yes No At what time?:

What was the purpose of your visit?

How long did you wait for assistance?:

Under 30 min: 30min - 1hr: over 1hr:

How long did staff spend assisting you?:

Under 30 min: 30min - 1hr: over 1hr:

How would you rate the information you received?:

Were you referred to another source for your information?:

Yes No If so, to whom were you referred?:

Please rate the level of service provided to you?:

Your Name (optional):

Name:

Customer Satisfaction Survey (Counter Service)