We value your opinion feedback. Please complete our survey to help us ensure our customers receive the highest quality services.

 

Date of Contact

Time

What office did you contact? 

 *

What office did you contact? (Select an Answer) Court-Related Services Jury Finance & Accounts Payable Official & Land Records Marriage License or Passports Tourist Tax IT Services Other

How did you contact our office?

 *

How did you contact our office?

In Person

Phone

If you came to our office in person, which location did you visit? 

If you came to our office in person, which location did you visit?

Fort Myers

Cape Coral

 Do you know the name of the customer service representative that helped you?

Do you know the name of the customer service representative that helped you?

Name	Window Number

 Tell us how we did.

Tell us how we did.

	Excellent	Good	Average	Fair	Poor
Overall quality of service.	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.
How knowledgeable was the clerk?	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.
How friendly and helpful was the clerk?	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.	Tell us how we did.

How can we improve future visits?

How can we improve future visits?

If you were visiting our website, was the information you were looking for easy to find?

If you were visiting our website, was the information you were looking for easy to find?

Yes

No

 

If no, please explain

Any comments or suggestions?

If you would like us to respond back, please provide your contact information. 

If you would like us to respond back, please provide your contact information.

Name:

Email Address:

Phone Number: ext.

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