Water Department Survey: How Are We Doing?

2. By completing this form, you will be assisting the Water Department by providing useful information on how service to our customers can be enhanced. It is not necessary to provide your name or address, as anonymous submissions will be accepted. When completed, please press the Submit button, or if you prefer, print it out and mail to the address provided at the end of the survey.

   By completing this form, you will be assisting the Water Department by providing useful information on how service to our customers can be enhanced. It is not necessary to provide your name or address, as anonymous submissions will be accepted. When completed, please press the Submit button, or if you prefer, print it out and mail to the address provided at the end of the survey.

4. Demographic Questions

6. How long have you been a utility customer of the City of
   North Richland Hills?*

   1. Less than a Year
   2. 1-3 Years
   3. 4-10 Years
   4. 10+ Years

7. What is your age?*

   1. 18-24
   2. 25-34
   3. 35-44
   4. 45-54
   5. 55-64
   6. 65+

8. Do you receive a paper bill or electronic notification?*

   1. Paper Bill
   2. Electronic Notification

10. Bill Appearance Questions
    Please select the response that most accurately reflects your opinion for each statement.

    Please select the response that most accurately reflects your opinion for each statement.

12. My bill is easy to read.

    1. Agree
    2. Disagree

13. My bill contains all necessary information.

    1. Agree
    2. Disagree

14. I believe the bill could use some improvements.

    1. Agree
    2. Disagree

16. I recommend the following changes to enhance the appearance of my bill or electronic notification.

18. Customer Service Questions
    Please select the response that most accurately reflects your opinion for each statement.

    Please select the response that most accurately reflects your opinion for each statement.

20. The reason for your most recent office visit or phone call:

    1. New Water Service
    2. Pay Water Bill
    3. High Bill Dispute
    4. Disconnect Service
    5. Payment Extension
    6. Reconnect Service after Disconnection
    7. Other
    8. Did not contact office

21. I was properly greeted by office staff in a timely manner.

    1. Agree
    2. Disagree

22. The quality of the service I received was excellent.

    1. Agree
    2. Disagree

24. The clerk was knowledgeable about the subject.

    1. Agree
    2. Disagree

25. I received an adequate resolution to my issue in a
    timely manner.

    1. Agree
    2. Disagree

26. The Utility Customer Service Division does a good job
    serving the customers of North Richland Hills.

    1. Agree
    2. Disagree

27. 
    

29. I think these suggestions could improve customer views of the Water Department:

31. What improvements would you most like to see implemented:

33. Contact Information

35. Would you like a member of the Water Department to contact you?

    1. Yes
    2. No

37. If you answered yes, please provide your contact information:

39. Name:

41. Telephone Number:

42. Email Address:

44. 
    If you have any additional concerns, please contact us:
    817-427-6200 <p>City of North Richland Hills <p>Water Department <p>PO Box 820609 <p>North Richland Hills, TX 76182-0609

    817-427-6200

    City of North Richland Hills

    Water Department

    PO Box 820609

    North Richland Hills, TX 76182-0609

46. 
    

48. 
    

Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field