Customer Service Survey Home ›Contact Us › Customer Service Survey An asterisk (*) indicates a required field To Our Customers: It is our goal to provide the highest quality of customer service. Please let us know where we are succeeding and how we might do better by completing this brief survey about your visit today: Date of Visit * Time of Visit * Who Helped you today? * How satisfied are you with today's visit overall? * —Please choose an option—Extremely satisfiedSomewhat satisfiedNeither satisfied not dissatisfiedSomewhat dissatisfiedExtremely dissatisfied Courtesy and promptness of reception staff * —Please choose an option—ExcellentAbove AverageAverageBelow AverageFail Interview by Veteran Service Rep. (if applicable) —Please choose an option—ExcellentAbove AverageAverageBelow AverageFail Knowledge and thoroughness of staff * —Please choose an option—ExcellentAbove AverageAverageBelow AverageFail Speed of service * —Please choose an option—ExcellentAbove AverageAverageBelow AverageFail Office location and accessibility * —Please choose an option—ExcellentAbove AverageAverageBelow AverageFail Use this space to let us know if a staff member was particularly helpful, if there was something we were unable to help you with, or if you have any suggestions for improvement: Please provide the following information if you would like us to contact you regarding your comments: Name * Address * City, State, Zip * Phone * Email * Check here if you would like a supervisor to contact you. YesNo