Bookmark this site     Spanish
Print This Page

Please note: Florida has a very broad public records law. Electronic communications such as this survey is available to the public and media upon request. If you do not want your name released then do not complete that section. Phone calls and letters are treated confidentially.

Office Visit Date:     Staff Name(s):

 

Yes

No

1. Did the office staff greet you within 1 minute of your arrival?

2. Was the staff courteous and respectful during the encounter?

3. Did the staff explain the procedure and/or rule in an understandable manner?

4. Did you find the handout materials in the lobby useful?

5. Was the overall encounter with us satisfactory to you?

Please list any other comments, suggestions or recommendations you have.

Your Name (optional)  

To submit your survey, please type the number you see in the box and click submit.