Website Tester Form

1. What is the name of the agency you contacted?
   
   
   
   
2. What number did you dial to reach that agency?
   
   
   
   
3. Briefly describe your question and or issue:
   
   
   
   
4. Did the operator state his/her name upon answering the phone?
      Yes No
   If yes, what was his/her name?
   
   
   
   
5. If the operator was unable to answer your question or resolve your issue did he/she provide you with options for resolution?
      Yes No
   
   
6. At the end of the phone call, did the operator thank you for calling and or wish you a good day?
      Yes No
   

   Rate the following questions on a scale from 1 to 5.

   1 = Poor
   2 = Needs Improvement
   3 = Fair
   4 = Good
   5 = Excellent

7. How courteous was the operator in guiding you to the answers that you were seeking?
   
   
8. How would you rate the operator's knowledge and ability to utilize resources in order to fulfill your request?
   
   
9. Please evaluate your impression of the operator's telephone etiquette?
   
   
10. How did you feel about your entire conversation with the government operator?
    
    
11. Please provide us with additional comments regarding your recent telephone experience:
    
    
    
    
12. Contact Information (Fields marked with an asterisk (*) are required)
    
    

    *Name:
    *Phone Number:
    *E-mail: