CRS Quallity of Service Survey

OMB Number 1103-0111

Expiration date:  xx-xx-xxxx

	City:______________________ State:________________________	Date:_____________
U.S. DEPARTMENT OF JUSTICE COMMUNITY RELATIONS SERVICE (CRS)
CUSTOMER SATISFACTION SURVEY Please use the scale below to rate your level of agreement with each of the following statements. 5- Strongly Agree 4- Agree 3- Neither Agree nor Disagree 2- Disagree 1- Strongly Disagree Circle the appropriate number for each question or write your responses in the space provided. Should you need more space, please use the back of the survey.
CRS services improved communication between parties.			1 2 3 4 5
CRS services improved problem-solving between parties.			1 2 3 4 5
CRS brought parties together to identify issues and resolutions collectively.			1 2 3 4 5
CRS services will enable parties to work together in the future.			1 2 3 4 5
CRS’ assistance reduced community tension.			1 2 3 4 5
CRS services and processes were clearly explained to me.			1 2 3 4 5
CRS provided services promptly.			1 2 3 4 5
CRS assisted my community in a professional manner			1 2 3 4 5
CRS services were provided in a neutral and impartial manner.			1 2 3 4 5
I found CRS services helpful and effective.			1 2 3 4 5
I would recommend CRS services to someone else.			1 2 3 4 5
12) If you could improve CRS services in any way, what would it be? -------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------
If you would like to speak to someone in more detail about your experience with CRS services, please contact the Washington, DC, Headquarters office at phone telephone (202) 305-2935.

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Federal agencies may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 1 minute per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate, or any other aspects of this collection of information, including suggestions for reducing this burden, to the Deputy Director, U.S. Department of Justice, Community Relations Service, Washington, DC 20530.