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STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION <br /> CUSTOMER SERVICE QUESTIONNAIRE <br /> TR-0164(REV 2/2001) PERMIT NUMBER 1014-NSV-0176 <br /> Dear Customer, <br /> Our goal is to provide the best service possible to our customers. Please take a few minutes to complete this <br /> questionnaire. Your comments will enable us to see how we are doing overall and any areas which may need <br /> improvement. <br /> PLEASE TELL US HOW WE'RE DOING <br /> INSIDE THE OFFICE EXCELLENT VERY GOOD GOOD POOR <br /> Staff courteous and helpful <br /> Staff quick and efficient <br /> Explanations and instructions clear <br /> TELEPHONE ANSWERING <br /> Timely response <br /> Receiving information or answers <br /> INSPECTION <br /> Inspector courteous and helpful <br /> Pre-construction meeting set and held in a timely manner <br /> Inspector at job site frequently <br /> Inspector able to answer questions and deal with <br /> problems <br /> OVERALL PERFORMANCE <br /> What would you say is our overall performance? <br /> STAFFS NAME: <br /> Is there a staff person you would like to commend? <br /> COMMENTS: <br /> NAME(Optional) BUSINESS PHONE NUMBER DATE <br /> ADA Notice For individuals with sensory disabilities,this document is available in allemate formats. For information call(916)654-6410 or TDD(915)654-3860 or mite <br /> Records and Forms Management,1120 N Street,MS-89,Sacramento,CA 95814. <br />