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CITY OF LITTLE CANADA - CUSTOMER SERVICE SURVEY <br />Telephone - 484 -2177 Fax - 484 -4538 <br />The employees of the City of Little Canada endeavor to deliver all <br />public services in a professional manner and to respond promptly to <br />all citizen inquiries and complaints. Please tell us how we served <br />you by answering the following questions. <br />1. Check the box indicating the Department which served you. <br />Administration; <br />City Cable TV; <br />Inspections; <br />Parks & Recreation; <br />Permits /Licensing; <br />Planning /Zoning; <br />Public Works; <br />Utility Billing /Service; <br />Other <br />Indicate name of person serving you, if known: <br />Reason for Service: <br />Date of Service: <br />2. How would you rate the staff who served you? Please check <br />all boxes which apply. <br />Efficient Excellent; Good; Fair; Poor <br />Effective Excellent; Good; Fair; Poor <br />Courteous Excellent; Good; Fair; Poor <br />Helpful Excellent; Good; Fair; Poor <br />Knowledgeable Excellent; Good; Fair; Poor <br />Friendly Excellent; Good; Fair; Poor <br />Prompt Excellent; Good; Fair; Poor <br />Fair Excellent; Good; Fair; Poor <br />Complete and <br />Accurate Info. Excellent; Good; Fair; Poor <br />3. Overall, how would you rate our service? <br />Excellent <br />Good Fair Poor <br />4. How could we have served you better? <br />5. Do you have any other comments regarding the service provided to <br />you? <br />6. Name (Optional): <br />Phone Number: Date: <br />7. I would like someone to contact me to discuss this further. <br />Yes; No. <br />Page 3 <br />