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BPHD Client Satisfaction Survey
Please use this form to submit feedback on the quality of service provided to you by maintenance workers, contractors and staff.
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Name
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Email
*
Your answer
What was the nature of your interaction with the Burns Paiute Housing Department?
*
General Question
Waiting List
Work Order
Public Disturbance or Criminal Activity
Other:
Required
Who provided you services?
*
Andreas Tziolas, Housing Director
James Crawford, Housing Maintenance Worker
Contractor
Other:
Please rate the services provided?
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1
2
3
4
5
In the field below, please provide us with any additional information or feedback you would like to offer. You can describe details on your rating, or advice for how we can improve our services. (optional)
Your answer
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