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Internal Customer Service Survey

Please take a few minutes to share information about your experiences with [department] over the past 6 months.

1. ACCESS--How often were you able to access all that you needed from/for [department]? (i.e. contact information, forms, etc.) *This question is required.

Always	Usually	Sometimes	Never

If you did not answer "Always" to the above ACCESS question, please explain why:

2. EFFECTIVENESS--How often did you receive what you asked for from [department]? *This question is required.

Always	Usually	Sometimes	Never

If you did not answer "Always" to the above EFFECTIVENESS question, please explain why:

3. TIMELINESS--How often did you receive what you needed when you needed it? *This question is required.

Always	Usually	Sometimes	Never

If you did not answer "Always" to the above TIMELINESS question, please explain why:

4. QUALITY--How often would you rate the overall quality of service provided by [department] as excellent? *This question is required.

Always	Usually	Sometimes	Never

If you did not answer "Always" to the above QUALITY question, please explain why:

5. COURTESY & RESPECT-- How often were you treated with courtesy and in a respectful manner by [department]?

a. COURTESY is defined as the showing of politeness in one's attitude and behavior.

b. RESPECT is defined as a feeling of deference. *This question is required.

Always	Usually	Sometimes	Never

If you did not answer "Always" to the above COURTESY & RESPECT question, please explain why:

6. ANY ADDITIONAL COMMENTS--If you have any additional comments regarding the service [department] provides, please explain in the space provided below: