4
Customer Service Evaluation Form
CLEAR
PRINT
EMAIL
County of Ventura
Resource Management Agency
Planning Division
•
•
800 S. Victoria Avenue, Ventura, CA 93009-1740 • (805) 654-2478 •
Your Opinion is Valuable
Please take a minute to complete this questionnaire.
We expect our employees to serve the public courteously and efficiently.
Please take a few minutes and let us know how we’re doing.
Your responses will help us improve our service.
Kim L. Prillhart, Planning Division Director
1. Rate today’s visit:
3. If a staff member was especially helpful,
Outstanding
Good
Average
Fair
Poor
please let us know so we may show our
appreciation.
Promptness
Courtesy
Efficiency
Information
Received
4. Suggestions for improvement:
2. Reason(s) for your visit:
General Information
General Plan/Area Plan Information
Zoning Information
Zoning Clearance
OVERALL
Permit Submittal Requirements
How would you rate our service?
Permit(s)/Subdivision
Outstanding Good Average
Fair
Poor
Meeting with the Discretionary Permit
Coordinator
Film Permit
Lot Line Adjustment
5. Today’s date
Merger
Time of your visit
Information on Violations
Do you want a manager to call you?
Complaint
Yes
No
GIS Maps
6. Optional Information
Parcel and Permit History
Name
Legal Lot Status
LCA Contract (Williamson Act)
Address
Home Occupation Permit
City
Zip Code
Other
Phone
This form may be e-mailed directly to the Planning Division or dropped off
in the Comment Box at the Planning Division counter.