Appendix 6_ Sample Comment Card 508c (1).pdf
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- Attached to
- Prospectus for Campground and Related Granger-Thye Concessions Monongahela National Forest
- Solicitation number
- 071825
About this file
The document is a Sample Customer Service Comment Card for a USDA Forest Service recreation area. The form allows visitors to provide feedback on various aspects of their recreational experience, including employee courtesy, facility cleanliness, pricing, and overall service quality. Visitors can rate services across multiple categories from "Excellent" to "Poor" and have the option to provide voluntary contact information. The form includes a civil rights statement and instructions for filing discrimination complaints, emphasizing the USDA's commitment to non-discrimination in its programs and services. The comment card is designed to be dropped off with a host, submitted to a Forest Service office, or mailed to a specified permittee address.
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Appendix 6, Sample Customer Service Comment Card
Customer Service Comment Card
Thank you for camping or visiting this recreation area. Please take a few moments to reflect on your recreation experience. We appreciate you taking time to evaluate, comment or share suggestions.
Drop this off to your host, nearest Forest Service office or mail to: (Permittee Address)
Campground or Recreation Area:
Date of Visit: _________________ Type of Use (Check all that apply):
☐ Camping ☐ Day Use ☐ Fishing ☐ Boating ☐ Hiking ☐ Other
Did you reserve a campsite through the reservation company? ☐Yes ☐No
Excellent Good Fair Poor
Employee Courtesy/Attitude Employee Knowledge
Cleanliness of Campsite Cleanliness of Facilities
Fee Payment Procedures Price/Value of Campsite
Information Available/Present Sense of Security Overall Rating
If you made reservations:
Ease of making contact Processed in Timely Manner Operator Courtesy/Attitude
Operator Knowledge Price/Value of this Service
Overall Rating Please make comments or suggestions on the other side of this form
Name/Address/Phone (Voluntary):
Permittee/Company Name is a concessionaire operating and maintaining these facilities under permit issued by the USDA Forest Service.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer and lender.
http://www.ascr.usda.gov/complaint_filing_cust.html http://www.ascr.usda.gov/complaint_filing_cust.html
Customer Service Comment Card
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