2. Name of Staff*
4. Type of Service Provided *
   -- Select One --Permit IssuancePlan ReviewFacility InspectionOther
5. Specify
7. Was the staff polite and professional?*
   -- Select One --YesNo
8. Was the staff knowledgeable about the services being provided?*
   -- Select One --YesNo
9. Did the staff provide enough education to help you understand the rules?*
   -- Select One --YesNo
11. Did the staff make it clear as to what is legally required to meet the sanitation standards or permit issuance?*
    -- Select One --YesNo
12. Did the staff communicate clearly the relationship between proper food handling and communicable disease prevention?*
    -- Select One --YesNo
13. Did you fully understand the materials and/or information given to you?*
    -- Select One --YesNo
15. Did the staff thoroughly address your questions and concerns?*
    -- Select One --YesNo
16. Do our hours of operation meet your needs?*
    -- Select One --YesNo
17. Were you present with our staff while the service was being provided?*
    -- Select One --YesNo
19. Have you had any trouble with communication to the Environmental Health office?*
    -- Select One --YesNo
20. Were your calls returned promptly?*
    -- Select One --YesNo
22. For any questions answered "No," please tell us how we can improve below:
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24. 1. Receive an email copy of this form.
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