Customer Satisfaction Survey - Election Division

We welcome feedback based on your interactions with our Election Division. Please answer the following questions to let us know how we can better serve you.

WARNING: Do Not send us Sensitive Personal Identifying Information (PII) with this form. This includes Dates of Birth, Death & Marriage; Social Security Numbers; Driver's License Numbers; Financial Account Numbers; Medical Information; or Passport Numbers. If your inquiry requires this information, please call our office directly.

Your Visit

What is the name of the clerk who assisted you?

If you don't know the name of the clerk who assisted you, you may enter "I don't know."

How did you interact with the clerk?

In Person

Phone Call

Please Rate The Following

While being helped, the clerk was professional and polite.

The clerk was knowledgeable and helpful.

The clerk seemed well trained to handle my transaction.

The clerk made me feel like my transaction mattered.

My transaction was able to be completed to my satisfaction.

I understand why my transaction was not able to be completed today.

Would you like a supervisor to contact you for follow up?

Yes

Anything Else

What could we have done to make your experience better today?

Optional.

Questions or Comments

Optional.

Contact Information (Optional)

First Name

Last Name

Email Address

Phone Number

Optional. Ten digits with dashes, e.g. 719-555-1234.

* Required field

Requests / Forms

Customer Satisfaction Survey - Election Division

Your Visit

Please Rate The Following

Anything Else

Contact Information (Optional)