Customer Satisfaction Survey Form

Belmont Land Use Cares

...about providing quality public service!
How are we doing?

The Planning and Zoning Boards, Conservation Commission, Town Planner, Building/Health/Code Enforcement Officers, and Land Use Staff are committed to serving the community in a Professional, Courteous and Efficient manner. Please share your comments, experience and recommendations. All responses are provided to the Boards, Staff Member and Town Administrator. Your comments DO count.
Planning BoardZoning BoardConservation Commission
Sarah Whearty, Town PlannerElaine Murphy, Land Use Administrative AssistantKaren Santoro, Land Use TechnicianDawn Eastman, Land Use ClerkMark Ekberg, Code EnforcementRussell Wheeler, Building InspectorChristine Drew, Building Clerk

Please rate:

Rows	Excellent	Good	Fair	Poor	N/A
Courtesy
Knowledge
Helpfulness
Availability
Information Provided
Follow-up (if applicable)
Overall satisfaction with service

If you answered FAIR or POOR to any of the previous questions, please indicate what would have improved our score:
In order to improve our service, we would appreciate your comments and suggestions:
Contact information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Thank you for your comments!
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Belmont Land Use Cares