County seal surrounded by photos of Old County Courthouse, Oracle Building, and Sequoia Hotel - Click for San Mateo County Home Health Department Home
County seal surrounded by photos of Old County Courthouse, Oracle Building, and Sequoia Hotel - Click for San Mateo County Home
   
County seal surrounded by photos of Old County Courthouse, Oracle Building, and Sequoia Hotel - Click for San Mateo County Home Friday, January 9, 2009
County seal surrounded by photos of Old County Courthouse, Oracle Building, and Sequoia Hotel - Click for San Mateo County Home Health Department Home
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Environmental Health Customer Satisfaction Survey

Please let us know how we are doing by taking a few moments to fill out this form.
Please check services provided.

Food  
Food Inspections & Complaints
Housing  
Housing Inspections & Complaints
Land Use Program
Water  
Corss Connections Program
Pool Program
Small Water Systems
Toxics  
Hazardous
HouseholdHazardousWaste
Groundwater
SolidWaste
Other  
Complaint
Please rate the following: Response Time  
Excellent
Good
Fair
Poor
N/A
Courtesy of Staff

 
Excellent
Good
Fair
Poor
N/A
Knowledge of staff  
Excellent
Good
Fair
Poor
N/A
Helpfulness of information: Written  
Excellent
Good
Fair
Poor
N/A
Verbal  
Excellent
Good
Fair
Poor
N/A
Staff Availability  
Excellent
Good
Fair
Poor
N/A
Information about the process  
Excellent
Good
Fair
Poor
N/A
Appropriate follow-up  
Excellent
Good
Fair
Poor
N/A
Overall Satisfaction with the service  
Excellent
Good
Fair
Poor
N/A
If you answered FAIR or POOR to any of the previous questions, please tell us what was unsatisfactory about the service:  
Please give us your comments and suggestions to improve our service:

 
If you would like to recognize an employee who provided excellent service, please indicate his/her name and how he/she assisted you: Please enter the following information (optional)  
*Name  
**Telephone (include area code)  
*E-Mail Address  
FAX  

NOTE: All required items are preceeded with an "*".