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2. Note

   Information collected on these forms is NOT for requesting emergency or non-emergency services. Police, Fire, and/or Emergency Medical Services will not be dispatched as a result of the information collected here. If you are having an emergency please call 911.

6. Required Information For Survey
8. First Name
9. Last Name
11. Email Address
13. May we contact you for additional information if needed?*

    1. Yes
    2. No

    If you are OK with us contacting you for further information, please fill out the information below so we will be able to contact you if necessary.

    Thank You!

17. Optional Contact Information
19. First Name
20. Last Name
22. Address Line 1
23. Address Line 2
25. City
26. State
28. Postal Code
29. Phone Number
33. Lea County Communication Survey

    LCCA cares about providing excellent and courteous public service to everyone. We would like to know if we are succeeding and how we can do better. Please take a moment to complete this short survey.

35. Did you call from a Cellular phone?*

    1. Yes
    2. No
36. Response time of answering the phone*
    -- Select One --ExcellentGoodFairPoor
37. Courtesy of staff*
    -- Select One --ExcellentGoodFairPoor
39. Knowledge of staff assisting you*
    -- Select One --ExcellentGoodFairPoor
40. Helpfulness of information*
    -- Select One --ExcellentGoodFairPoor
41. Responsive to your needs*
    -- Select One --ExcellentGoodFairPoor
43. Overall satisfaction*
    -- Select One --ExcellentGoodFairPoor
44. Communicated to you what to expect next*
    -- Select One --ExcellentGoodFairPoor
46. If you answered FAIR or POOR to any of these questions, what was unsatisfactory about the service:
48. In order to improve our service to you, we would appreciate your comments and suggestions:
50. If you would like to recognize an employee who provided excellent service, please give us their name
52. Lea County Communication Authority and it's staff would like to thank you for taking the time to give us vital feedback on your experience with our service.
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field