Form Center

2. One of the City of Charleston's goals is to provide superior levels of customer service. Your feedback telling us what is going well and what needs improvement is essential to better serve you. Please take a moment to complete this survey and submit it to the City. You can fill out the card anonymously but if you want someone to contact you regarding the service you received please provide your email, phone number, or your mailing address.
4. Name:
6. Street Address:
8. Email Address:
10. Phone Number:
14. Service Date/Time
    Service Date/Time

    Service Date/Time
16. Does this comment apply to a particular City Employee

    1. Yes
    2. No
18. Employee's Name (if known)
20. Describe Services Provided:
    Provide the name or a description of the area of service on which you are commenting. (Ex. Street Sweeping)
24. About Exceptional Service:
    Tell us about the outstanding customer service you received at the City of Charleston.
26. About Improving Services:
    Tell us what activity, process or service you think could be improved at the City of Charleston. Please provide examples of how you think it could be improved.
30. Please rate our Courteous Attitude:

    1. Poor
    2. Fair
    3. Good
    4. Excellent
32. Please rate our Responsiveness:

    1. Poor
    2. Fair
    3. Good
    4. Excellent
34. Please rate our Employee's Knowledge:

    1. Poor
    2. Fair
    3. Good
    4. Excellent
36. Please rate our Cleanliness of Facilities:

    1. Poor
    2. Fair
    3. Good
    4. Excellent
38. Please Rate our Overall Service:

    1. Poor
    2. Fair
    3. Good
    4. Excellent
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

* indicates a required field