Assumption College, Department of Public Safety
Customer Survey Form

Please Print this survey and place it in the drop off box located outside of the Campus Police
area or mail it to:

Brad Holmes
Director of Public Safety
Campus Police
500 Salisbury Street
Worcester, MA 01609

To improve public safety related services to the Assumption College Community, we ask that you
take a few minutes and complete this survey to supply us with important feedback. To assist our
customers in understanding the services the department offers, our mission statement has been
posted in the Campus Police Communications Office.

Date of Service:____________________
Overall, how would you rate your most recent experience with a Dispatcher/Police Officer/Office
Personnel from the Department of Public Safety?

Very Good ____ Good ____ Ok ____ Not very good____

Did you receive walk-in or telephone assistance?

Walk-in ____ Telephone ____

Was it an emergency or non-emergency situation?

Emergency ____ Non-Emergency ____

Please indicate your level of agreement with the following descriptions of your most recent
experience with a Department of Public Safety Personnel. The employee:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Understood my Problem
Was courteous
Was professional
Was patient
Was respectful
Was efficient
Was helpful
Was knowledgeable
Was clear and easy to understand
Followed through on promises
Solved my problem on first contact

Was the problem you called about solved in a reasonable period of time?

Yes __________ No __________

Was the problem solved to your satisfaction?

Yes __________ No __________

Note: Please comment below. Include your name, e:mail, or phone number if you would like a
confidential follow up. Although anonymous surveys are helpful, there value may be limited.

________________________________________________________________________

Reviewed 12-16-03