Care Feedback Card

We welcome your feedback on experiences with our county staff.

Please take a moment to fill out the questions below and let us know how well we served you.  

If you prefer you can click here and get a printable form that you can mail into the county or drop off at the office that you were working with. If mailing, please address to ISLE CARE CARD, PO Box 80, Isle of Wight, VA 23397.  

Or starting mid-May look for cards that will be available at various county offices.  Just fill them out and turn them back in!

Date of Service:
(What date was your encounter with county office that you are commenting on?)

Department:
(What department or office did you work with?)


* Indicates required field
Type of Issue:
(Please explain what the issue/situation was that you were inquiring about?)

What could we have done better or consider in the future?

Was your issue resolved to your complete satisfaction?

--Select One-- Yes No
If you answered NO to the previous question, was this due to the customer service you received or a policy/regulation? (check one):
--Select One-- Customer Service Provided Policy/Regulation I answered YES to the previous question, my issue was resolved to my satisfaction
Additional Comments:
(Do you have any additional suggestions/comments that you would like us to know about?)

Name (required): *
Enter Full Name
Email (required) *

Phone Number (optional)