Customer Satisfaction Form

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Customer Satisfaction Form

Please complete this form if you have recently visited one of our district human resources field offices. In order to continue to improve our customer service, we need your feedback on your experience with us. Please complete this form and click on the submit button. Your results will be directed to the Pacific Human Resources Advisor. Our mission is to provide the best customer service to you. Be aware that this information will be kept strictly confidential.

Name of Facility you Visited:

Date Visited (MM/DD/YY):

Name(s) of Employee(s) Who Assisted You:

Purpose of Visit (Please check ALL that apply):

Application Submission	Inquiry on Job Vacancies	Inprocessing
Processing of ID Card	Processing of Passport

Inquiry on:

TQSA	LQA	Post Allowance
Overtime	Base Pay	Leave
Life Insurance	Non-Temporary Storage	Retro Pay Adjustment
Health Benefits	Priority Placement	Pay Lane Changes
TSP	Retirement	SMA
Extra Duty Pay

Other

How was the service in the following areas:

Timeliness of Service:		Quality of Service:
Courtesy of Staff:		Knowledge of Staff:

Comments:

Information: (Required, if you would like a reply)

Name:

Phone Number:

E-Mail Address:

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Last Updated: July 26, 2006

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Customer Satisfaction Survey