EH&S Service Evaluation

Thank you for contacting Environmental Health & Safety. Please share your feedback by filling in the information below.

Date of Service * +

Time of Day *

Which Program did you need to contact? *

Other Program

Who did you contact? *

Other Contact

Briefly describe the issue that caused you to contact EH&S. *

From the time you first spoke with the representative, how long did it take to resolve the issue? *

Please evaluate the representative you contacted.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Eager to help	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Knowledgeable	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Polite	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Spoke clearly	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Understood my issue	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A

How many calls to EH&S did you have to make before the issue was resolved? *

Overall, how satisfied were you with customer service? *

Do you have any suggestions for EH&S ?

Contact Information (Optional)

Name

Department

Email Address

Phone