CSUSB
EHS Customer Service Evaluation Form

In an effort to improve the quality of our service, this is your opportunity to provide valuable feedback. Your responses will be utilized to assess and provide better service in the future. You will note that this is not in the usual scale (1-5) format. We are interested in your thoughts as a partner in maintaining a safe and healthful educational environment. Please take a moment from your busy schedule to complete this evaluation and return it to the Office of Environmental Health and Safety.

Enter your name:

Enter your email address:

The following feedback has been provided by the person named above.

Description and comments of concern or service provided:

Was your concern responded to in a timely manner? Yes No

Was the work done in a competent, professional manner? Yes No

Were you satisfied with the resolution suggested by EHS? Yes No

If another department was involved in the resolution, were you satisfied? Yes No

How would you rate communication on this issue between EHS and yourself?

Good Fair Poor

Please give your Suggestions

How might we improve the level of service?

Would you like an EHS representative to contact you? Yes No