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  1. Garrity and Compelled Statements


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Quality of Service Feedback Form

Current and past clients, please use the following form to provide us with feedback on the service or training provided by PATCtech and the PATCtech Affiliate Network.
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Client ID and Case Number information can be found on your latest invoice.

 

Today's Date:   
Your Case Number:   
Your First and Last Name:   
Your Chief Case Representative:   

 

Did PATCtech meet your service requirenments in regards to:
The initial start/response time?   
   Yes     No
Pre, During and Post service communications?   
    Yes     No
Project Completion Time?   
    Yes     No

 

Did your chief case representative provide you with the following:
The PATCtech Privacy and Mandated Reporting Policy?
(included in Service Agreement)  
   Yes     No
A clear and accurate description of all reports and findings?   
    Yes     No
Timely communication in regards to the status of the service?   
    Yes     No

 

Overall satisfaction with the service we provided in this case?   
5: Complete Satisfaction --- 1: Complete DIS-Satisfaction   

 

   5     4     3     2     1

 

Overall satisfaction with the fee charged for this service?   
5: Priced with great value --- 1: Price exceeded value   

 

   5     4     3     2     1

In the space below, please provide us with any additional comments in regards to
your overall satisfaction with the performance of PATCtech in this case:

 

 

 
 
     
 
  
 
PATCtech is a division of the Public Agency Training Council
5235 Decatur Blvd  -   Indianapolis, IN  46241   -  800.365.0119