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Customer Service Feedback Form

  1. Disclaimer:
    Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
  2. Tell Us How We're Doing
    To provide feedback on your experience with the Transportation and Engineering division, please fill out this form.
  3. Please rate the following aspect of service provided by Jefferson County Employees at Transportation and Engineering:
  4. Timeliness of Response
  5. Courtesy
  6. Competency In Handling an Issue
  7. Professionalism
  8. Timeliness in Resolving Problem / Addressing Need
  9. Please evaluate the following statements.
  10. How satisfied are you that Transportation & Engineering adequately answered your question or resolved your issue?
  11. How satisfied are you in the overall job Jefferson County (not just this division) does in providing service?
  12. What is your preferred method of communication with Transportation and Engineering? *
  13. Optional Information
  14. Would you like to be contacted about your comments?*
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      2. This field is not part of the form submission.