Sample Esc Customer Satisfaction Survey Page 2
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2Part C. Customer Results
For each item, please circle the number that best represents your degree of satisfaction in receiving the
anticipated end result of the ESC programs and or services. Mark “Not Applicable” (NA) when
appropriate.
Results Item
Satisfaction Rating Choice
Extremely ---------------------------------- Extremely
Dissatisfied
Satisfied
16. Save school district money
1 2 3 4 5 6 7 8 9 10
17. Make services available in district
1 2 3 4 5 6 7 8 9 10
18. Increase personal knowledge and skills
1 2 3 4 5 6 7 8 9 10
19. Improve classroom instructional practices
1 2 3 4 5 6 7 8 9 10
20. Increase student learning
1 2 3 4 5 6 7 8 9 10
21. Enable school to achieve accreditation status
1 2 3 4 5 6 7 8 9 10
22. Increase technology capacity of district or
school(s)
1 2 3 4 5 6 7 8 9 10
23. Increase administrative efficiency of district
1 2 3 4 5 6 7 8 9 10
24. Enable school or district to meet state mandate
1 2 3 4 5 6 7 8 9 10
25. Enable school or district to meet state mandate
1 2 3 4 5 6 7 8 9 10
Part D. Additional Important Information
26. What is your primary professional job role? (Mark only one)
___Superintendent
___District/Central Office Administrator
___School Administrator ___Teacher
___Other Professional Staff (specify) __________________
___Paraprofessional
___Secretarial/Clerical/Support Staff
___Other (specify)
27. List in rank order the 3 ESC programs and or services that you valued most during last 12 months:
1._______________________________
2._______________________________
3. _______________________________
28. What is the single most important action ESC should take to increase your satisfaction with the
programs and or services offered?
29. Any additional comments you would like to make about ESC regarding customer satisfaction?
Thank you for taking time to complete and submit this valuable survey.
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