Customer Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Fast Track Customer Feedback Survey 6-9-16

Technical Assistance (TA) Request Form

OMB: 0690-0030

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1. Overall, were you satisfied with the services provided by BroadbandUSA's Technical Assistance team?



Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

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2. Please rate BroadbandUSA's Technical Assistance staff and services on the following attributes:


Excellent Very Good Good Fair Poor

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Knowledge and experience in the topic area


Frequency and quality of communication

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Guidance and solutions provided



3. My community had the appropriate resources (e.g., data, people, broadband knowledge) to work with

BroadbandUSA's Technical Assistance team.


Strongly Agree Agree Neutral Disagree Strongly Disagree

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4. Does your community intend to implement BroadbandUSA's recommendations?


Yes

No Undecided



5. What outcome would you ultimately like to achieve as a result of BroadbandUSA's technical assistance?

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6. Would you recommend BroadbandUSA's technical assistance offerings to other communities or stakeholders interested in broadband programs?


Yes

No Undecided

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If no, why?

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7. Will you contact BroadbandUSA for future broadband-related technical assistance needs?


Yes


No


Undecided

Shape34 8. What, if anything, can BroadbandUSA do to improve its technical assistance services and offerings?








Shape35 9. Additional comments or feedback:

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWilkins, Janice
File Modified0000-00-00
File Created2021-01-28

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