2. Your Comments
   Thank you for taking a few moments to complete this brief survey. Your feedback will help us improve our service delivery.
4. Please describe the type of service you received.
6. Date of service you received: (If applicable)
8. Department or Division you received service from*

   1. Airport
   2. Assessor-Treasurer
   3. Assigned Counsel
   4. Auditor
   5. Boards and Commissions
   6. Budget and Finance
   7. Clerk of the Superior Court
   8. Communications
   9. County Council
   10. County Executive
   11. District Court
   12. Economic Development
   13. Emergency Management
   14. Facilities Management
   15. Family Justice Center (FJC)

   1. Ferry
   2. Human Resources
   3. Human Services
   4. Information Technology
   5. Juvenile Court
   6. Law Library
   7. Medical Examiner
   8. Parks and Recreation
   9. Pierce County TV (PCTV)
   10. Pierce County Regional Council
   11. Planning and Public Works
   12. Prosecuting Attorney
   13. Risk Management
   14. Sheriff's Department
   15. Superior Court
12. Service was provided within the timeframe identified.

    1. Strongly Agree
    2. Agree
    3. Somewhat Agree
    4. Disagree
    5. Strongly Disagree
13. My issue was addressed - expectations met.

    1. Strongly Agree
    2. Agree
    3. Somewhat Agree
    4. Disagree
    5. Strongly Disagree
15. Staff treated me with respect.

    1. Strongly Agree
    2. Agree
    3. Somewhat Agree
    4. Disagree
    5. Strongly Disagree
16. I am satisfied with the service I received.

    1. Strongly Agree
    2. Agree
    3. Somewhat Agree
    4. Disagree
    5. Strongly Disagree
20. Please feel free to enter any additional comments below regarding the service you received from Pierce County.
24. Your Contact Information
    Please feel free to submit your contact information in the below fields if you would like for us to contact you regarding your service or this form. Thank you for your time.
26. First name
27. Last name
29. What is the best way to contact you? (optional)
    -- Select One --By phoneBy emailNo response required
31. Phone number
32. Email
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field