Texas Western Bankruptcy - Customer Service Survey

Instructions

Please select the rating that best describes your experience and opinion.

DIVISION

1.	What division of the Western District of Texas did you interact with?

	Austin
	El Paso
	Midland
	San Antonio
	Waco

CUSTOMER CATEGORY

2.	Please check the category that best describes you as a customer.

	Attorney
	Trustee
	Paralegal
	Legal Secretary
	Courier
	Debtor with an Attorney
	Debtor without an Attorney
	Creditor
	Other:

PROFESSIONALISM AND FRIENDLINESS OF COURT STAFF

Excellent

Good

Fair

Poor

3.	At Intake Counter

4.	Over the Phone

5.	In the Courtroom

RESPONSIVENESS OF COURT STAFF

Excellent

Good

Fair

Poor

6.	At Intake Counter

7.	Over the Phone

8.	In the Courtroom

COMPETENCY OF COURT STAFF

Excellent

Good

Fair

Poor

9.	At Intake Counter

10.	Over the Phone

11.	In the Courtroom

OVERALL EXPERIENCE

Excellent

Good

Fair

Poor

12.	At Intake Counter

13.	Over the Phone

14.	In the Courtroom

ADDITIONAL COMMENTS

15.	Comments/Suggestions:

16.	Would you like us to contact you regarding your survey responses?

	Yes
	No

Please provide the following (optional)

First Name

Last Name

Address

City

State / Province

Postal Code

Phone

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