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Customer Feedback - Online Form
Tell Us What You Think
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Customer Feedback - FAQ's
Customer Feedback - Online Form
Customer Satisfaction Checklist
Town Hall,
Sheffield,
S1 2HH
telephone:
(0114) 272 6444
Tell Us What You Think
To make a complaint, comment, suggestion or compliment, please fill in this online form.
See
Customer Feedback - FAQ's
for guidance.
»
Required Fields
»
Name:
»
Address:
»
Postcode:
Daytime telephone number:
Evening telephone number:
Email:
»
Which part of the council's service is your feedback about?
»
What happened/did not happen?
»
How have you been affected by this?
»
What do you think the service should do?
»
Have you given us feedback about this previously?
Yes
No
If yes, please state when and to whom:
Extra Information about you
The information requested below is optional and we will respond to your feedback whether or not you answer these questions.
Your answers will help us to ensure that we provide fair and continuously improving services for all our customers, and will only be used by us for monitoring and assessment purposes.
Gender:
Male
Female
Do you consider yourself to be disabled?
Yes
No
Ethnic Origin:
British
Irish
Any other white background
Please state:
Asian or Asian British:
Indian
Pakistani
Bangladeshi
Any other Asian background
Please state:
Mixed:
White & Black Caribbean
White & Black African
Any other mixed background
Please state:
Black or Black British:
Caribbean
Somali
African
Any other black background
Please state:
Other ethnic groups:
Chinese
Yemeni
Any other
Please state:
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Privacy Statement
Generated: 20/12/2006 | Modified: 20/12/2006
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