1	What was your contact with Animal Services? Front Desk 311 Center Website Clinic Administration Mobile Clinic Kennel Animal Services Officer Other, please specify:

2	How did you hear about us? Web Billboard Word of Mouth Postcards/Mail-Out Orange TV TV Radio Other, please specify

3	Quality of Service: Excellent Good Average Fair Poor

4	Quality of Service Comments (optional):

5	Timeliness of Service: Excellent Good Average Fair Poor

6	Timeliness of Service Comments (optional):

7	Staff Friendly and Courteous: Excellent Good Average Fair Poor

8	Staff Friendly and Courteous Comments (optional):

9	Staff Knowledgeable? Additional Comment

10	Facility Appearance: Excellent Good Average Fair Poor

11	Facility Appearance Comments (optional):

12	Are office hours convenient? Recommended Hours:

13	What can we do to improve?

14	We are committed to providing quality customer service and appreciate your assistance.  Should you wish to be contacted, please provide: Name: Address: Phone Number: E-Mail:

15	Preferred method for us to contact you? E-mail Mail Phone Other, please specify