1
2Chatham Police Department
Customer Service Feedback/Suggestion Form
1. Your Name______________________________________________________________.
2. Contact Number__________________________________________________________.
3. Address_________________________________________________________________
_______________________________________________________________________.
4. Email___________________________________________________________________.
5. Date of incident/interaction_________________________________________________.
6. If you had personal experience with the Chatham Police, please let us know how you
would rate your experience.
a. Level of professionalism:
____Excellent
____Above Average
____Below Average ____Poor
b. Level of understanding of the problem/issue:
____Excellent
____Above Average
____Below Average ____Poor
c. Level of sensitivity to the problem/issue:
____Excellent
____Above Average
____Below Average ____Poor
d. Level of the problem/issue being solved:
____Excellent
____Above Average
____Below Average ____Poor
e. Level of satisfaction with the overall experience:
____Excellent
____Above Average
____Below Average ____Poor
Comments/Suggestions:____________________________________________________
7.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Chatham Police Department
Customer Service Feedback/Suggestion Form
1. Your Name______________________________________________________________.
2. Contact Number__________________________________________________________.
3. Address_________________________________________________________________
_______________________________________________________________________.
4. Email___________________________________________________________________.
5. Date of incident/interaction_________________________________________________.
6. If you had personal experience with the Chatham Police, please let us know how you
would rate your experience.
a. Level of professionalism:
____Excellent
____Above Average
____Below Average ____Poor
b. Level of understanding of the problem/issue:
____Excellent
____Above Average
____Below Average ____Poor
c. Level of sensitivity to the problem/issue:
____Excellent
____Above Average
____Below Average ____Poor
d. Level of the problem/issue being solved:
____Excellent
____Above Average
____Below Average ____Poor
e. Level of satisfaction with the overall experience:
____Excellent
____Above Average
____Below Average ____Poor
Comments/Suggestions:____________________________________________________
7.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________.
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