Form VS 1-10 VS 1-10 Customer Service Survey

CUSTOMER SERVICE SURVEY PROJECT

VS 1-10 Jul 2010

Customer Service Survey - State, Local, or Tribal Government

OMB: 0579-0334

Document [docx]
Download: docx | pdf

Your answers are voluntary, confidential, and anonymous. They will be used by Veterinary Services to evaluate and improve customer service.

Please fold this survey and return it by mail (postage paid) or in person to the office you visited.

OMB APPROVED

0579-0334

EXP XX/XXXX

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

VETERINARY SERVICES

CUSTOMER SERVICE SURVEY

1. IN WHAT CAPACITY DID YOU CONTACT VETERINARY SERVICES?

Pet Animal Import/Export Farm Animal Import/Export Product Import/Export


Accredited Veterinarian Farm Animal Programs Other (specify)

2. HOW SATISFIED WERE YOU WITH VETERINARY SERVICES IN THE FOLLOWING CATEGORIES?

COURTESY


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

PROFESSIONALISM


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

HELPFULNESS


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

TIMELINESS


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

KNOWLEDGE


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

COMMUNICATION


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

TREATING YOU AS A VALUED CUSTOMER


Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

3. HOW SATISFIED OVERALL WERE YOU WITH YOUR EXPERIENCE IN OUR OFFICE?

Satisfied Somewhat Satisfied Neither Satisfied nor Dissatisfied Somewhat Dissatisfied Dissatisfied

4. WHAT WAS GOOD ABOUT OUR SERVICE?






5. WHAT COULD WE DO BETTER?











IF YOU WOULD LIKE A RESPONSE FROM VETERINARY SERVICES, PLEASE PROVIDE YOUR NAME AND PHONE NUMBER OR EMAIL.

NAME:


PHONE NUMBER : EMAIL ADDRESS:


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0334. The time required to complete this information collection is estimated to average .083 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

VS Form 1-10

JULY 2010































TAPE HERE

_____Fold here



PLACE STAMP

HERE










USDA, APHIS, Veterinary Services, Eastern Region

Employee Resources Team

920 Main Campus Drive, Suite 200

Raleigh, NC 27606,










_____Fold here




















VS Form 1-10

REVERSE

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorsmharris
File Modified0000-00-00
File Created2021-02-01

© 2024 OMB.report | Privacy Policy