Customer Service Feedback/Suggestion Form - Town of Chatham, Massachusetts

This fillable "Customer Service Feedback/Suggestion Form" is a document issued by the Massachusetts Department of State Police specifically for Massachusetts residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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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.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 
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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