Skip to Main Content
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
Water District
Sanitation District
I Want To...
Search
Employee Site
Benefits
Employee Policies
Safety
O&M Procedures
Meet the Staff
Bid Opportunities
Construction Projects
Developer Information
Rates, Fees & Charges
Tenant Improvement Reviews
Hydrant Use Permit
Website Accessibility Policy
Home
Forms
Southgate's Leave Behind Customer Survey
Leave This Blank:
Thank you for taking the time to complete this brief (30 seconds) survey. Your feedback is valuable to us and will assist in improving the quality of our service to you, our customer.
What was the nature of your service call that we responded to (select from options below)?
*
Air in lines
Fireline shutoff
Fireline turn on
Hydrant flow test
Hydrant hit by vehicle
Inspection
Leaking or running water
Lid missing/damage
Low/high pressure
No water
Odor - sewer
Request for information
Sewer backup
Shut down
Site Restoration
Turn off water service
Turn on water service
Video sewer main
Water quality complaints - dirty/color/odor/taste
Other
Date of Service?
Service Request # (if provided on leave behind survey card)?
Operator Name
Operator # (if provided on leave behind survey card)?
Did we provide a timely response to your request for service?
*
Yes
No
N/A
Was our team member knowledgeable and competent?
*
Yes
No
N/A
Was the issue resolved to your satisfaction (select from options below)?
*
Yes
No
N/A
What can we do better?
* indicates required fields.
Live Edit
Meetings & Agenda
Learn More
Rates, Fees, & Charges
Learn More
Employment
Learn More
Alerts
Learn More
Notify Me®
Learn More
Hydrant Use Permit
Learn More
Government Websites by
CivicPlus®
Loading
Loading
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow