03_Format A - Inspection Survey (002)

Improving Customer Experience (OMB Circular A–11, Section 280)

03_Format A - Inspection Survey (002)

OMB: 2511-0001

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We want to better understand your experience as it relates to the
discrimination complaint process.
The survey takes 5 minutes to complete.
Please contact [email protected] with any questions or concerns. This
email is to support Customer Experience Feedback only. This
mailbox is not for future use or customer support. For direct
customer support not related to customer experience feedback,
please contact HUD customer service.
service.
OMB Control Number:2511-0001
Number:2511-0001
Expiration Date:09/30/2024
Date:09/30/2024
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid OMB
control number. The time required to complete this information collection is
estimated to average 5 minutes. All responses to this collection of information are
voluntary. If you have comments or concerns regarding this collection, please
contact [email protected]

 Required

I trust HUD to address housing discrimination.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

How would you rate your experience with the services received
from HUD?








I understand what was being asked of me throughout the
complaint process.
Strongly Disagree



Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

 Required

I was treated fairly during the investigation process.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

 Required

I feel that my needs during the discrimination process were met.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

 Required

The HUD employees I interacted with during the discrimination
complaint process were helpful.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

How can we improve your experience? (optional)

Finish


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