Let the people you serve grade the service itself — access, treatment, usefulness — in two minutes, on their phone, without a paper comment box.
Quick answer
Use it after a service contact to measure what people actually experienced — access, how they were treated, usefulness — in about two minutes, anonymously if they choose. Ratings plus one open change question give staff a fixable list, not a vanity score.
The people best placed to judge a service are the ones who had to use it. This survey keeps their time honest — two minutes on a phone — and their answers useful: ratings on access, staff treatment and usefulness, plus one open line about what to change. Dignity rules the wording: no five-point mazes, no mandatory identity.
Sample form preview — live and ready to fill in.
Everything you need to run this template.
Access, treatment and usefulness graded apart — one average hides all three.
Questions written for a thumb, not a clipboard.
One free-text field kept short enough to be used.
Identity optional; patterns emerge from program tags instead.
From copy to deliverable in four steps.
Copy it in and set the dimensions to your service stages.
Share the link at follow-up, not in front of staff.
Watch access, treatment, usefulness move separately.
Publish one change made from the last quarter's answers.
Pick your role — see how it fits your workflow.
Fix the dimension that dropped, not the loudest complaint.
Hear framing that measures respect, not blame.
Answer in two minutes without signing anything.
What makes this template work as a professional deliverable.
A preview of the real questions in this form — exactly what respondents see.
