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 Customer Survey Form

In an effort to better serve you and recognize our employees, I appreciate your taking the time to fill out this
CUSTOMER SERVICE FEEDBACK FORM
Thank you for your contribution.  I want to be sure you are pleased with the service you received from us.  If you wish, you can send me a freeform e-mail by clicking on my name below.  NOTE:  Your input will reach me via the internet and your e-mail address will show.  Click on this link for Bexar County´s Privacy Statement.
Margaret G. Montemayor

Date AM PM    Employee Office

Reason for Visit (check all that apply):
File Case/Motion Request Issuance Get Records/Copies Check on Case
Pay Court Costs Other (explain)

How would you rate the service you received from this
employee today?
3  10
How would you rate the courtesy extended while receiving
these services?
3  10

8-10 EXCELLENT
4-7   SATISFACTORY
1-3   POOR

 If you wish, please provide comments, explanations and suggestions.
 

If you wish to be contacted regarding your input above, please provide the appropriate contact information.  Otherwise, the information requested are optional.
 

Thanks for your input!