Interactive Customer Evaluation (ICE) System

Interactive Customer Evaluation (ICE) System

Example Comment Card.xls

Interactive Customer Evaluation (ICE) System

OMB: 0704-0420

Document [xlsx]
Download: xlsx | pdf
Pentagon Library Comment Card------
.






Pentagon Library Comment Card







Please send us your comments. Your suggestions and opinions are important in helping us improve our delivery of library services.




Additional information about Pentagon LibraryInformation about this service provider (FAQs,Events,Contacts,Links)

Customer Service:

Facility Appearance Excellent Good OK Poor Awful N/A
Employee/Staff Attitude Excellent Good OK Poor Awful N/A
Timeliness of Service Excellent Good OK Poor Awful N/A
Hours of Service Excellent Good OK Poor Awful N/A
Did the product or service meet your needs? Yes No N/A



How do you usually access Pentagon Library services and resources?




Satisfaction:

Were you satisfied with your experience at this office / facility? Yes No N/A



Comments & Recommendations for Improvement: (up to 4000 characters) (optional)

CAUTION: Do NOT enter sensitive or personally identifying information in this text field. Text comments may be viewed by several authorized persons involved or not involved in your specific issue.




If you would like a response, please check the Response Requested checkbox and enter your name and your phone number and/or your email below. Unless a response is requested, name, phone and email are optional.




Response Requested




Name: (optional)




Phone: (optional)




Email: (optional)




Reference Number: (optional)




Privacy Advisory: Unless you provide your name, phone, email address or otherwise identify yourself in the text comments on the comment card, all submitted information and comments will remain anonymous. No attempt to identify you or your organization will be made unless the comment card submission or set of submissions reflects a credible or potential threat, or reflects a misuse or abuse of the system, or is related to a law enforcement investigation. If you have a complaint and do not provide a phone number or email address, there will be no way of following up with you directly regarding the complaint. However, all comments and complaints will be examined whether or not you supply contact information. Your comment card submission, including the text comments, may be reviewed by multiple people associated to the service provided. This may, in some cases, include higher levels in the service provider's chain of command. By providing comment information in the text comment box, you are acknowledging that the information provided may be reviewed throughout the organization to which the comment was submitted, and, possibly at higher organization levels within the ICE system.




Thank you for taking the time to complete this comment card. Your opinions are very important to us.




OMB 0704-0420, expires 31 OCT 2009

RCS DD-DA&M(AR)2124, expires 28 FEB 2010

File Typeapplication/vnd.ms-excel
AuthorPatricia L Toppings
Last Modified ByPatricia L Toppings
File Modified2009-11-01
File Created2009-11-01

© 2024 OMB.report | Privacy Policy