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Untitled Document

CES Customer Survey - EBT

Center for Economic Support EBT
Customer Service Survey

Thank you for completing the following customer satisfaction survey.
The information collected will be used to better serve our customers in the future and in no way will impact the services you are requesting today.
This survey should only take 5-6 minutes to complete.

1. Contact Information (Optional)

First Name

Last Name

Email Address

Phone Number

2. Please provide the name of the staff person who assisted you.

3. Please rate the following. I feel: *This question is required.

Space Cell	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I was treated with respect by staff	I was treated with respect by staff: Strongly Disagree	I was treated with respect by staff: Disagree	I was treated with respect by staff: Neutral	I was treated with respect by staff: Agree	I was treated with respect by staff: Strongly Agree
Staff was knowledgeable	Staff was knowledgeable: Strongly Disagree	Staff was knowledgeable: Disagree	Staff was knowledgeable: Neutral	Staff was knowledgeable: Agree	Staff was knowledgeable: Strongly Agree
The information I was given was helpful	The information I was given was helpful: Strongly Disagree	The information I was given was helpful: Disagree	The information I was given was helpful: Neutral	The information I was given was helpful: Agree	The information I was given was helpful: Strongly Agree
I was satisfied with the overall quality of service	I was satisfied with the overall quality of service: Strongly Disagree	I was satisfied with the overall quality of service: Disagree	I was satisfied with the overall quality of service: Neutral	I was satisfied with the overall quality of service: Agree	I was satisfied with the overall quality of service: Strongly Agree

4. Is this your first time visiting this location? *This question is required.

5. Were you seen promptly at the scheduled time? *This question is required.

6. Where your needs met?

7. If you answered STRONGLY AGREE to any question, please tell us what satisfied you most.

8. If your needs were not met or you answered DISAGREE or STRONGLY DISAGREE to any questions, please tell us why.