04_Format B- Case Completed Survey- Satisfaction (1-3)

Improving Customer Experience (OMB Circular A–11, Section 280)

04_Format B- Case Completed Survey- Satisfaction (1-3)

OMB: 2511-0001

Document [pdf]
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We want to better understand your experience as it relates to the
discrimination complaint process.
The survey takes 5 minutes to complete.
Please contact CX@hud.gov with any questions or concerns. This
email is to support Customer Experience Feedback only. This
mailbox is not for future use or customer support. For direct
customer support not related to customer experience feedback,
please contact HUD customer service.
service.
OMB Control Number:2511-0001
Number:2511-0001
Expiration Date:09/30/2024
Date:09/30/2024
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid OMB
control number. The time required to complete this information collection is
estimated to average 5 minutes. All responses to this collection of information are
voluntary. If you have comments or concerns regarding this collection, please
contact CX@hud.gov

 Required

I trust HUD to address housing discrimination.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

How would you rate your experience with the services received
from HUD?










 Required

What factors contributed to your rating? (choose all that apply)
Investigation not effective

Process not clear
Investigation not fair
Investigation process difficult
Time to complete investigation
HUD employees not helpful

How can we improve your experience? (optional)

Finish


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