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How Was Your Service? Customer Survey

  1. Warning!
    Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.
  2. How Was Your Service? Customer Survey
    The Township of Rockaway strives for customer satisfaction and by letting us know how we are doing helps us reach that goal. Please complete the survey and submit it. We appreciate your time and comments.
  3. Contact Information
  4. Was someone ready to help you within a reasonable timeframe?
  5. Did the employee actively listen to your request, without interrupting?
  6. Did the employee have the knowledge to solve your issue?
  7. Did the employee ensure all of your issues were resolved?
  8. Did he/she provide you with additional information or options (beyond what was asked)?
  9. Was your issue handled professionally?
  10. Did the employee show interest / concern for you?
  11. Was the employee upbeat and friendly?
  12. Did the employee use positive statements (e.g. What can I do for you)?
  13. Was your request handled within an effective timeframe?
  14. Notes:
    If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.
  15. Thank you for taking the time to fill out our customer survey.
  16. Leave This Blank:

  17. This field is not part of the form submission.