You must have JavaScript enabled to use this form. Date of Service * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 Who did you contact? * Reason for Contact * Example: meeting, inspection, incident, assistance Timeliness * It was resolved immediately.Less than a day.1-2 days3-5 daysmore than 5 daysthe issue is still unresolved From the time you first spoke to the representative, how long did it take to resolve the issue? * From the time you first spoke to the representative, how long did it take to resolve the issue? - It was resolved immediately. From the time you first spoke to the representative, how long did it take to resolve the issue? - Less than a day. From the time you first spoke to the representative, how long did it take to resolve the issue? - 1-2 days From the time you first spoke to the representative, how long did it take to resolve the issue? - 3-5 days From the time you first spoke to the representative, how long did it take to resolve the issue? - more than 5 days From the time you first spoke to the representative, how long did it take to resolve the issue? - the issue is still unresolved Interaction with EHS staff * Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeNA Eager to help * Eager to help - Strongly Agree Eager to help - Agree Eager to help - Neutral Eager to help - Disagree Eager to help - Strongly Disagree Eager to help - NA Knowledgeable * Knowledgeable - Strongly Agree Knowledgeable - Agree Knowledgeable - Neutral Knowledgeable - Disagree Knowledgeable - Strongly Disagree Knowledgeable - NA Polite * Polite - Strongly Agree Polite - Agree Polite - Neutral Polite - Disagree Polite - Strongly Disagree Polite - NA Spoke clearly * Spoke clearly - Strongly Agree Spoke clearly - Agree Spoke clearly - Neutral Spoke clearly - Disagree Spoke clearly - Strongly Disagree Spoke clearly - NA Understood my issue * Understood my issue - Strongly Agree Understood my issue - Agree Understood my issue - Neutral Understood my issue - Disagree Understood my issue - Strongly Disagree Understood my issue - NA Satisfaction * Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied Overall, how satisfied were you with customer service? * Overall, how satisfied were you with customer service? - Very Satisfied Overall, how satisfied were you with customer service? - Satisfied Overall, how satisfied were you with customer service? - Neutral Overall, how satisfied were you with customer service? - Dissatisfied Overall, how satisfied were you with customer service? - Very Dissatisfied Contact * 1234The issue is still unresolved. How many calls to EHS did you have to make before the issue was resolved? * How many calls to EHS did you have to make before the issue was resolved? - 1 How many calls to EHS did you have to make before the issue was resolved? - 2 How many calls to EHS did you have to make before the issue was resolved? - 3 How many calls to EHS did you have to make before the issue was resolved? - 4 How many calls to EHS did you have to make before the issue was resolved? - The issue is still unresolved. Overall * Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied Overall, how satisfied were you with customer service? * Overall, how satisfied were you with customer service? - Very Satisfied Overall, how satisfied were you with customer service? - Satisfied Overall, how satisfied were you with customer service? - Neutral Overall, how satisfied were you with customer service? - Dissatisfied Overall, how satisfied were you with customer service? - Very Dissatisfied Would you like to further explain, offer suggestions, or commend anyone? This survey is anonymous, but if you would like us to follow up, please leave your contact information in the box below. Leave this field blank
