Form Center

2. Purpose
   This survey has been designed to measure how satisfied residents and others doing business with the Borough are with the manner in which Borough services are provided. You should complete this survey based upon your most recent contact or interaction with the Borough.
6. What type of contact or interaction did you have?*

   1. Request Tracker
   2. Visit to Municipal offices
   3. Telephone conversation
   4. E-mail exchange

   1. Written correspondence
   2. On-site visit/inspection
   3. Public Meeting
   4. Other (please specify below)
8. Specify other type of contact or interaction:
10. What was the reason for this contact or interaction?*
12. Name of Employee(s) who assisted you (if known):
16. Employee Courtesy*

    1. Completely Satisfied
    2. Very Satisfied
    3. Satisfied
    4. Somewhat Satisfied
    5. Not Satisfied
17. Employee Knowledge*

    1. Completely Satisfied
    2. Very Satisfied
    3. Satisfied
    4. Somewhat Satisfied
    5. Not Satisfied
19. Employee Response Time*

    1. Completely Satisfied
    2. Very Satisfied
    3. Satisfied
    4. Somewhat Satisfied
    5. Not Satisfied
20. Overall Service*

    1. Completely Satisfied
    2. Very Satisfied
    3. Satisfied
    4. Somewhat Satisfied
    5. Not Satisfied
24. If you had an appointment, did the Borough employee arrive during the scheduled time?*

    1. Yes
    2. No
    3. N/A
25. Did the Borough employee display a professional manner?*

    1. Yes
    2. No
27. Were your questions/issues addressed in a timely manner?*

    1. Yes
    2. No
28. Would you like to be contacted by the Borough Administrator's office?*

    1. Yes
    2. No
30. Additional Comments
34. Please leave your contact information if you would like us to get back to you.
36. Name
38. Contact E-mail Address
39. Contact Telephone Number
41. Thank you, we appreciate your feedback.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field