VS 1-10 Customer Service Survey

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.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

OMB APPROVED
0579-0334
Exp.: XX/XXXX

CUSTOMER SERVICE SURVEY

Your answers are voluntary, confidential, and anonymous and will be used by Veterinary Services to evaluate and improve customer service. This survey
can be completed/returned using any of the following methods: (1) online at https://www.surveymonkey.com/r/VSSurvey2016; (2) return this form to the
office you visited; (3) submit a scanned copy by email to [email protected]; or (4) fold this form and return it by mail using
the address on the reverse side.
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)

Organisms and Vectors

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

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Dissatisfied

Somewhat Dissatisfied

Dissatisfied

PROFESSIONALISM
Satisfied
HELPFULNESS
Satisfied
TIMELINESS
Satisfied
KNOWLEDGE
Satisfied
COMMUNICATION
Satisfied

TREATING YOU AS A VALUED CUSTOMER
Satisfied

Somewhat Satisfied

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

Somewhat Satisfied

4. WHAT WAS GOOD ABOUT OUR SERVICE?

5. WHAT COULD WE DO BETTER?

VS Form 1-10
MAR 2018

Neither Satisfied nor Dissatisfied

TAPE HERE
_____Fold here

PLACE STAMP
HERE

USDA, APHIS, VS, National Import Export Services
Office of the Associate Deputy Administrator
4700 River Road, Unit 41
Riverdale, MD 20737

_____Fold here

VS Form 1-10
REVERSE
MAR 2018