Customer Feedback

Your Comments are greatly appreciated (Your details will not be sold or rented to a third party).

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Your name *

Nature of service conducted with the IDB *

District Office with which you were dealing *

Select the service *

Approximate date of contact *

Date

Time

Have you obtained the information you were seeking?

Were your expectations met? *

	Excellent	Good	Fair	Poor	Very Poor
Courtesy	ExcellentCourtesy Excellent	GoodCourtesy Good	FairCourtesy Fair	PoorCourtesy Poor	Very PoorCourtesy Very Poor
Efficiency/Promptness	ExcellentEfficiency/Promptness Excellent	GoodEfficiency/Promptness Good	FairEfficiency/Promptness Fair	PoorEfficiency/Promptness Poor	Very PoorEfficiency/Promptness Very Poor
Comprehensiveness of response	ExcellentComprehensiveness of response Excellent	GoodComprehensiveness of response Good	FairComprehensiveness of response Fair	PoorComprehensiveness of response Poor	Very PoorComprehensiveness of response Very Poor
How would you rate the level of service	ExcellentHow would you rate the level of service Excellent	GoodHow would you rate the level of service Good	FairHow would you rate the level of service Fair	PoorHow would you rate the level of service Poor	Very PoorHow would you rate the level of service Very Poor

How you any general comments on the service you received or any suggestions for improving the quality of service?

1995