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Customer Compliments & Comments Form

  1. City Seal


    Norfolk Department of Human Services Customer Comment or Compliment Form

  3. Customer Information

  4. Please Choose One


    We want to hear your suggestions and ideas about our services. Your feedback helps us review and improve out services Did you receive good customer service? Tell us when you think a NDHS employee has done well.

  6. Program Area


  8. Location


  10. Worker Name(s)

  11. Comment or Compliment Summary

  12. Leave This Blank:

  13. This field is not part of the form submission.