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FHWA LTPP Customer Support Service
Customer Satisfaction Questionnaire

OMB Control No. 2125-0590

In an effort to better serve our customers, we are asking our customers to complete this brief questionnaire. Please take a few minutes to answer each question that applies to the service you received on your request(s) for customer support.

Note: This collection of information is voluntary and replies will be confidential. The information will be used to determine our customers' satisfaction with our service and to assist the FHWA in evaluating service delivery and processes. It takes approximately an average of 3 minutes to complete this survey. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number.

The following statements can be rated with a response from 1 to 5 (see descriptions, below). Select the number that corresponds to your response to each statement.

  • 1. Strongly Agree
  • 2. Agree
  • 3. Neutral
  • 4. Disagree
  • 5. Strongly Disagree
  • NA. Not Applicable


Customer Service:
1. 1 2 3 4 5 NA

2. 1 2 3 4 5 NA

3. 1 2 3 4 5 NA

4. 1 2 3 4 5 NA

5. 1 2 3 4 5 NA

6. 1 2 3 4 5 NA




IMS Data Request:
7. Y N Don't Recall NA

8. Y N Don't Recall NA


9. 1 2 3 4 5 NA

10. 1 2 3 4 5 NA



11. 1 2 3 4 5 NA



12. 1 2 3 4 5 NA




Other:
13.

14. Y N NA

15. Y N NA



16.

17.

18. The date of the request (mm/dd/yy):
19. Type of data requested
(choose all applicable):











 
This page last modified on 04/09/07
 

FHWA
United States Department of Transportation - Federal Highway Administration