Welcome to the State of California

Customer Service Survey Form

Our goal is to provide you with the best possible service and your input is vital to our success. Please help us serve you and others better by taking a few minutes to answer the questions below. Thank you for responding.  -- Agency Secretary

Who was the service provider?

Board, Department, or Office:

What was the nature of your contact with us?

General Information      Problem Resolution       Technical Assistance
Permitting/Licensing Assistance      Other:

Check as Appropriate

Statements

Strongly Agree Agree Disagree Strongly Disagree No Comment
Staff was courteous and helpful.
Staff provided complete, accurate information to you.
A timely response was provided.
My overall experience was positive.
Please complete the section below if your contact with us involved permitting/licensing/registration assistance.
The regulations were understandable.
The application instructions were understandable.
The terms and conditions of the permit, license, or registration were understandable.

Please indicate the name(s) of any staff person you would like to commend:

Comments:
If you feel we fell short in meeting your service expectations, please describe the situation, including name of the staff person involved and the date the incident occurred:
As a result of your experience with us, what service-related improvements can you recommend?

Contact Information (Optional):

Your Name:
Email:
Daytime Phone:
Street:
City:
State: ZIP:
Submitted Date:
   

 

Last updated: October 16, 2007
California Environmental Protection Agency, http://www.calepa.ca.gov
General Public Contact, cepacomm@calepa.ca.gov (916) 323-2514