FCBOE Quality Service Questionnaire

Quality Service

This information is confidential. Names will not be used
in reports unless specified by you in your response.

Quality Service Information:
* School/Facility visited:
* Date contacted:			Ex. 99/99/9999
* I was greeted warmly:			Yes No
* Service was prompt & courteous:			Yes No
* Person(s) that helped you:
Additional Comments:
Dear Dr. Lynn M. Plunkett, Interim Superintendent: I would like for you to know:

Personal Information: (optional)
Name:
Address:
City:		State:		Zip Code:
Phone:
E-Mail :
	I give you permission to use my personal information in your report.