EMWD Customer Satisfaction Online Survey Form

EMWD Customer Satisfaction Online Survey Form

Thank you for sharing your opinions with EMWD. Please try to answer every question even if you’re not sure. If you need to, you may skip a question.
Name

First NameLast Name
EMWD Account No.
Enter your 9 digit account number using the following format: 123456789.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number
Please enter a valid phone number.
1. What is your opinion of Eastern Municipal Water District, also known as EMWD?

1. Strongly favorable2. Somewhat favorable3. Somewhat unfavorable4. Strongly unfavorable5. Never heard of6. (Don’t know/No opinion)
2. Now, thinking about the services provided by EMWD, please indicate how satisfied you are personally with the job that EMWD is doing.

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
3. The job EMWD is doing overall

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
4. Quality of tap water

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
5. Safety of tap water

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
6. Taste of tap water

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
7. Reliability of water service

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
8. Cost of service

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
9. Customer service

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
10. Reliability of water service

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
11. Helping customers use less water

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
12. Planning for our community’s future water needs

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
13. Reliability of water service

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
14. Effectively managing our current water supplies

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
15. Notifying the public about upcoming water-related construction projects in your area

1

2

3

4

5

6

7

1 is Very Dissatisfied, 7 is Very Satisfied
Next, you will see a list of priorities for EMWD in providing services to customers. After each one, please rate how important each priority is to you.
16. Improving the taste of tap water

1

2

3

4

5

6

7

1 is Not at all important , 7 is Extremely Important
17. Improving the safety of tap water

1

2

3

4

5

6

7

1 is Not at all important , 7 is Extremely Important
18. Keeping the cost of water service as low aspossible

1

2

3

4

5

6

7

1 is Not at all important , 7 is Extremely Important
19. Improving customer service responsiveness

1

2

3

4

5

6

7

1 is Not at all important , 7 is Extremely Important
20. Planning for future water needs

1

2

3

4

5

6

7

1 is Not at all important , 7 is Extremely Important
21a. In the last six months, did you or someone in your household contact EMWD for any reason other than making a regular monthly payment on your bill?

YesNo(Don’t know)
21b. And in thinking about the contact or contacts with EMWD, would you rate your experience as excellent, good, only fair, or poor?

ExcellentGoodOnly fairPoor(Don’t know)N/A
22. Your overall impression of EMWD.org?

ExcellentGoodOnly fairPoor(Don’t know)
22a. The usefulness of the information provided on the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
22b. The ease of navigating the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
22c. The ease of finding what you need on the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
22d. The ease of paying your bill online on the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
22e. The ease of finding information about money-saving rebates on the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
22f. The ease of finding information about ways to save water on the EMWD.org website?

ExcellentGoodOnly fairPoor(Don’t know)
23. And thinking about the frequency of your visits to EMWD.org, which of the following best describes your use of the website?

I visit the website more than once a month to track things like water use, pay my bill, and other informationI visit the website about once a month, mostly to pay my billI visit the website rarely, only when I need information or assistance from EMWDThis is my first visit to EMWD.org
24. Do you receive EMWD newsletters or reports in paper form, electronically, both, or not at all?

Paper formElectronicallyBothNot at allDon't know
25. How often do you read the reports or newsletters?

Every timeMost of the timeNot oftenNeverDon't know
26. Which of the following best describes the kind of water you most frequently drink in your household:

Water straight from the tapFiltered from the refrigeratorFiltered from the tapFiltered through a whole-house water filtration systemIndividual water bottles bought at the grocery storeLarge containers of bottled water purchased from a service and served through a dispenserOther
27. Which age group are you in?

18-2930-3940-4950-6465 or overPrefer not to respond
Thank you for your participation in this survey! Please leave any additional comments you might have about EMWD’s service or your experience on EMWD.org today below.
Date*

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