Customer Service Evaluation Form – Field Inspection

We expect our employees to serve our customers professionally and efficiently.  Please take a few minutes and let us know how we’re doing.  This survey should be completed by the individual that had contact with the inspector.  Your responses will help us improve our service.   Thank you for your participation.

General Information

What Environmental Health Division section provided you service?





What was the purpose of the inspection or service?



Did the inspector introduce him/herself?

Yes







Did the inspector explain the purpose of the visit?



Did the inspector answer all your questions?


Please Rate the Service

Environmental Health Division employee was courteous, spoke in a respectful and professional tone, and understood my needs.



Environmental Health Division employee was knowledgeable about their work, solution-oriented, and helpful.



Environmental Health Division employee was responsive to my requests for information and services during the inspection, and accessible following the inspection, via phone calls and emails.



Environmental Division Health employee explained the violation(s) and correction(s) needed so I could comply with the laws and regulations.



My overall experience with the Environmental Health Division employee was positive.



Suggestions for Improvement

Please list any areas in which our service could be improved.


Additional Feedback

Please let us know if you received exceptional service so we can acknowledge his/her efforts.


Contact Information

* Required Information



Would you like someone to contact you regarding your
responses on this survey?


Thank you for taking the time to fill out our survey. We rely on your feedback to help us improve our services. Your input is greatly appreciated.