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Physical Plant Customer Survey

This form should be used to provide feedback and comments for services received from a Physical Plant department. Because we wish to provide improved service based on your experiences, we ask you please include comments on poor answers.

Building and Room Number where work was performed:

Employee (if known):
Work Order # (optional):
1. Were you treated in a polite manner:
Poor Below Average Average Above Average Excellent
2. Were responsive to your questions:
Poor Below Average Average Above Average Excellent
3. Understood your needs:
Poor Below Average Average Above Average Excellent
4. Provided assistance in a timely manner:
Poor Below Average Average Above Average Excellent
5. Overall, how would you rate our performance?
Poor Below Average Average Above Average Excellent
6. Please explain any areas falling below average:

7. Additional comments:

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