FSA-441C APFO Service Quality Survey

United States Department of Agriculture
This form is available electronically.

Form Approved - OMB No. 0560-0176
Farm Service Agency
Aerial Photography Field Office

FSA-441C
(07-16-15)

APFO SERVICE QUALITY SURVEY
PRA Disclosure Statement – According to the Paperwork Reduction Act of 1995, no
persons are 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
0560-0176. The time required to complete this information collection is estimated to
average five (5) minutes per response. If you have comments concerning the accuracy
of the time estimate(s) or suggestions for improving this form, please write to: USDAFSA Aerial Photography Field Office, Attn: Customer Service Supervisor, 2222 West
2300 South, Salt Lake City, Utah 84119-2020.

Aerial Photography Field Office
2222 W 2300 S
Salt Lake City, Utah
USA
84119-2020
Phone: 801-844-2922
Fax: 855-415-2014
http://www.apfo.usda.gov

Dear Valued Customer:
As part of our ongoing effort to improve our service, I invite you to participate in this Service Quality Survey.
We hope your recent experience has been a good one, but whether your opinion is positive or negative, we’d like to
hear from you. Your opinion is extremely important to us.
If it would be more appropriate for another person to complete this survey, please pass it along to them. Responses
can be submitted on site, faxed to (801) 956-3653 (Attention: Customer Service Supervisor), or online at
http://www.surveymonkey.com/s/fsa_441c_apfo_service_quality (preferred method). You may also complete, save,
and email this form directly to [email protected] or by visiting http://www.apfo.usda.gov and then click the
“Forms” tab then the survey link after opening the document.
Sincerely,

Customer Service Section Supervisor
COMPLETE SURVEY
1. The Aerial Imagery Specialist helping me was:

2. Order Number (If available)

3. Email Address

4. As for Customer Service, I am treated with courteous/tactful behavior with timely and accurate products/service in a positive professional manner.
Always
Usually
5. Information or Communications are clear, correct, timely and presented in an understandable manner.

Seldom

Always
Usually
Seldom
6. My time spent researching or requesting help was time well spent as I received the product without requiring revisions.
Always

Usually

Seldom

7. Comments

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of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. USDA is an equal opportunity
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