2. Date and Time of Visit*
   Date and Time of Visit

   Date and Time of Visit
3. Facility Visited

   1. Flagstaff Facility
   2. Page Facility
4. Reason for Visit

   1. Inmate Visit
   2. Inmate Deposit
   3. Inmate Information
   4. Fingerprinting
   5. Other
5. If Other Reason, please explain
7. 1. Rate the level of customer service you received from Detention Staff

   1. Excellent
   2. Good
   3. Fair
   4. Poor
   5. Not Applicable
8. 2. Rate the professionalism of the answers to your questions

   1. Excellent
   2. Good
   3. Fair
   4. Poor
   5. Not Applicable
10. 3. Rate the convenience of the hours of operation for your visit

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
11. 4. Rate how well you understood the Rules and Operation of visitation

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
13. 5. Rate the cleanliness of the public visitation booth area

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
14. 6. Rate the ease of use of the video visitation system

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
16. 7. Rate the ease of use of the kiosk

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
17. 8. Rate the cleanliness of the public restroom area

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Not Applicable
19. What did we do well?
21. What can we do better?
23. Was there an officer (or officers) who had an impact on you during your visit to our facility? Will you please tell us about it?
25. Additional Comments
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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