PLEASE READ BEFORE YOU BEGIN:

2. Customer Service Satisfaction Survey
   Our top priority at the City of La Habra is ensuring the satisfaction of our valued residents and businesses. Please take a few moments to provide some feedback from your recent visit or to contact us so that we may learn better ways to serve you.
4. Date of Your Visit*
   Date of Your Visit
6. Department(s) You Visited*
8. Reason for Visit*
10. Employee Name(s) Who Helped You*
12. Your Name
13. Telephone Number
15. Email Address
17. Employee(s) appeared courteous and eager to help me.*

    1. Strongly Agree
    2. Agree
    3. Neither
    4. Disagree
    5. Strongly Disagree
18. Request was handled in a reasonable amount of time.*

    1. Strongly Agree
    2. Agree
    3. Neither
    4. Disagree
    5. Strongly Disagree
20. Employee(s) was able to answer my questions or find another employee to assist me.*

    1. Strongly Agree
    2. Agree
    3. Neither
    4. Disagree
    5. Strongly Disagree
22. Employee(s) took the time to listen to me regarding my ideas and opinions.*

    1. Strongly Agree
    2. Agree
    3. Neither
    4. Disagree
    5. Strongly Disagree
24. Service exceeded my expectations.*

    1. Strongly Agree
    2. Agree
    3. Neither
    4. Disagree
    5. Strongly Disagree
26. Was there a problem? If so, was it resolved to your satisfaction?*
28. Additional Comments or Suggestions*
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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