Office Of Equal Opportunity And Diversity Management (OEODM)
Customer Service Survey

1. In evaluating your most recent customer service experience with OEODM, how satisfied were you with the quality of the service you received?
   
    Extremely Satisfied
    Very Satisfied
    Satisfied
    Somewhat Satisfied
    Unsatisfied
    Very Unsatisfied
   
   
2. Which OEODM division/office did you contact?
   
    Immediate Office of the Director (IOD)
    Division of IC Services (ICSD)
    Division of Complaints Management and Resolution (DCMR)
    Division of Program Evaluation and Training (DPET)
    Don't Know
   
   
3. What service did you receive?  Administrative ServicesAffirmative EmploymentCoordination of Special ObservancesCompliance AuditsComplaints ProcessingConflict ResolutionConsultingDiversity Management ServicesEEO CounselingEEO Reporting/CommunicationEEO TrainingEvaluation ServicesFacilitation ServicesReasonable Accommodation ServicesTargeted Outreach and Recruitment Other
   
   If Other, please specify:  
   
   
4. What was the date of the service? 
   
   
5. Please rate the following aspects of the service you received:
   
   

   Responsiveness (timeliness of service)	Excellent  Good  Fair  Poor
   Courtesy of OEODM employee(s) providing the service	Excellent  Good  Fair  Poor
   Follow-through/Follow-up	Excellent  Good  Fair  Poor
   Knowledge of the OEODM employee(s) providing the service	Excellent  Good  Fair  Poor

   
   
6. May we contact you regarding your experience with this service?    Yes No
   
   If Yes, please provide the following information:
   
   

   Name:
   Phone:
   Email:

   
   
7. You can provide the following information to further assist the OEODM Customer Service Survey:  (Optional)
   
   Please identify your Institute/Center (IC):
   OD - Office of the DirectorNCI - National Cancer InstituteNEI - National Eye InstituteNHLBI - National Heart, Lung, and Blood InstituteNHGRI - National Human Genome Research InstituteNIA - National Institute on AgingNIAAA - National Institute on Alcohol Abuse and AlcoholismNIAID - National Institute of Allergy and Infectious DiseasesNIAMS - National Institute of Arthritis, Musculoskeletal and Skin DiseasesNIBIB - National Institute of Biomedical Imaging and BioengineeringNICHD - National Institute of Child Health and Human DevelopmentNIDCD - National Institute on Deafness and Other Communication DisordersNIDCR - National Institute of Dental and Craniofacial ResearchNIDDK - National Institute of Diabetes, Digestive and Kidney DiseasesNIDA - National Institute on Drug AbuseNIEHS - National Institute of Environmental Health SciencesNIGMS - National Institute of General Medical SciencesNIMH - National Institute of Mental HealthNINDS - National Institute of Neurological Disorders and StrokeNINR - National Institute of Nursing ResearchNLM - National Library of MedicineCIT - Center for Information TechnologyCSR - Center for Scientific ReviewFIC - John E. Fogarty International CenterNCCAM - National Center for Complementary and Alternative MedicineNCMHD - National Center on Minority Health and Health DisparitiesNCRR - National Center for Research ResourcesCC - Warren Grant Magnuson Clinical CenterUNK - Not Listed, Not Applicable, or Unknown
   
   What is your employment classification?   NIH EmployeeNon-NIH Federal EmployeeContractor
   Are you currently a manager in your organization?   Yes No
   
   Additional Comments:

   If you prefer not to submit online, you can print the completed survey under File -> Print from your browser menu and send it anonymously via mail to John Gimperling, Division of Program Evaluation. The address is:

   2 Center Drive, Room 3W17
   Third Floor
   Bethesda, Maryland 20892-0245