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2. You contacted the 3-1-1 Call Center by*
   -- Select One --TelephoneLetterIn PersonInternet
4. Date you contacted the 3-1-1 Call Center*
   Date you contacted the 3-1-1 Call Center

   Date you contacted the 3-1-1 Call Center
6. Your initial inquiry to the 3-1-1 Call Center was handled by*
   -- Select One --CharlotteDorothyJudyStephanieOther
8. The representative(s) treated me courteously and professionally*
   -- Select One --YesNo
10. The representative answered my questions and/or solved my problem*
    -- Select One --YesNo
12. Overall, I felt the 3-1-1 Call Center handled my situation*
    -- Select One --GoodGreatFairPoorOther
14. Please list any other comments / suggestions to improve our Customer Service.
18. Departmental Evaluation

    Please share with us how the department dealt with your problem.

20. Please type the department name in which your concern was with or was directed to
22. The department representative(s) treated me courteously and professionally
    -- Select One --YesNo
24. The department representative was prompt in contacting me to discuss my concern(s)
    -- Select One --YesNo
26. The representative answered my question(s) and/or solved my problem
    -- Select One --YesNo
28. Overall, I felt the department handled my situation
    -- Select One --GoodGreatFairPoorOther
30. Please list any other comments/suggestions to improve our Customer Service.
34. Contact Information

    If you would like someone to contact you, please let us know the most convenient method and time of day.

36. Name
38. Method of contact preferred*
    -- Select One --TelephoneEmailPostal ServiceFaxMeeting
39. Other - Specify
41. Contact Info
43. To receive a copy of your submission, please fill out your email address and submit.
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45. 1. Receive an email copy of this form.
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