Division of Business Services Customer Satisfaction Survey

The Great Seal of the State of New Jersey
Business Services Survey Information
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Specific name of the agency or company the applicant works at
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(First, Middle, Last)
Specific name of the individual completing the survey
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Contact number used to reach the individual or applicant completing the survey
(333)333-3333
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(MM/DD/YYYY)
Date the individual visited the division
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Identifies the group or program that the individual attended
**
A question that identifies if the applicant feels the web page meets all his/her expectations and requirements on scale of 1 to 10
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Identifies if the service fulfilled the requirements or needs of the individual on a scale of 1 to 10
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Identifies if the service met the expectations of the individual compared to outside services on a scale of 1 to 10
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Identifies if the individual felt that the staff providing the service had adequate knowledge on scale of 1 to 10
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Identifies if the individual felt the staff was cooperative and understanding when providing the service. Measured on scale of 1 to 10
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Identifies if the service was provided to the individual in a timely manner. Measured on scale of 1 to 10
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Identifies if the staff provided proper service and met the needs or requirements of the individual. Measured on scale of 1 to 10
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Identifies if the individual would return for additional service with the division.
A question that identifies suggestions from the applicant to improve the service provided by the division.
Additional information or feedback an applicant can provide about the service
(First, Middle, Last)
(333)333-3333

(** indicates a required field)

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