Customer Feedback (Form) Please take a few minutes to give us feedback about our municipal service by filling in this short Customer Feedback Form. We are conducting this customer feedback research in order to gauge your level of satisfaction with the quality of our service. Your response will be sent directly to our Human Resources Department for review. Your input counts! The City of Wausau implemented Pay-for-Performance in 2014 and incentives are available for staff who exceed performance standards. Customer satisfaction is one critical factor for direct service positions. The Mayor and Common Council are committed to the most efficient and effective delivery of services possible. The Customer Feedback Form will assist in measuring our service delivery and help us to constantly improve our service. We thank you for your participation! Fields marked * are required. You MUST click the Submit Button to send the form. CUSTOMER INFORMATION First Name:* Last Name:* Email Address:* Street: City:* State: Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Telephone: EMPLOYEE INFORMATION If Name or Department is unknown, simply enter "Unknown". Employee Name:* Department:* Job Title: Reason for Contact:* Date of Contact:* Select Date MM/DD/YYYY Respect: Did the City staff member communicate using courtesy in a helpful manner? ExceptionalAverageUnsatisfactory Integrity: Did the staff member do what they said they would do and when they would do it? ExceptionalAverageUnsatisfactory Accountability: Did the staff member do what they said they would do within the timeframe communicated to you? ExceptionalAverageUnsatisfactory Professionalism: Was the employee knowledgeable on the reason for the visit/contact? ExceptionalAverageUnsatisfactory FEEDBACK Please share your observations of outstanding or substandard work. Maximum of 500 characters. Do you have any suggestions for improving the City’s service or this employee’s work? Maximum of 500 characters. Is there anything else the Mayor should know? Maximum of 500 characters. Comments/General Observations Maximum of 500 characters.