Customer Survey

The Department of Transportation would like to provide you with the best possible service and your input is vital to our success. Please help us serve you and others better by taking a few minutes to answer the questions below. Thank you for responding.

What was the nature of your contact with us?

	General Information		Problem Resolution		Technical Assistance
	Permitting/Licensing Assistance		Registration Assistance		Other:

	*Check As Appropriate*
*STATEMENTS*	*Strongly* *Agree*	*Agree*	*Disagree*	*Strongly* *Disagree*	*No Comment* *Or N/A*
Staff was courteous and helpful
Staff provided complete, accurate information to you.
A timely response was provided.
My overall experience was positive.
Please complete the section below if your contact with us involved permitting/licensing/registration assistance.
The regulations were understandable.
The application instructions were understandable.
The permit/license/registration terms and conditions were understandable.

Please indicate the name(s) of any staff person you would like to commend:

Comments:

If you feel we fell short in meeting your service expectations, please describe the situation, including name of the staff person involved and the date the incident occurred.

As a result of your experience with us, what service-related improvements can you recommend?

Optional
Your Name
Email
Daytime Phone
Street
City
State
Zip

If you would prefer to print out this survey form and mail it directly to the department, please mail to: