FEEDBACK FORM

To assist us in our continuous efforts to improve our services, we would appreciate a minute of your time in completing this survey. Thanks! 
1. Do you agree with the following statements?
 
    Strongly Agree Agree Neutral Disagree Strongly Disagree
 
  5 4 3 2 1
 
a. Your call was received in a courteous and responsible manner
 
b. EHSRM Personnel Responded to your request in a timely manner
 
c. EHSRM Personnel Completed the requested work in a timely manner
 
d. EHSRM Personnel Demonstrated courtesy and professionalism
 
e. EHSRM Personnel Performed the work to your expectations
 
f. EHSRM Personnel Demonstrated clear communications, and a thorough follow-up
 
2. Additional Comments?
 


  Your comments will make a difference
Thank you very much for your assistance.