Form Center

2. Hunterdon County is dedicated to providing a high level of service to our community. We are striving to improve our programs and ask that you complete this short survey. The results are anonymous - so please be honest!

4. Name of Inspector*
5. Date of Inspection*
   Date of Inspection
7. Please check the type of facility you own/manage:

   1. Restaurant
   2. body art
   3. Pool
   4. Kennel
   5. Camp Ground
   6. Tanning
   7. Other (please explain):
9. Other
11. Was your facility inspected as a -

    1. New Opening
    2. Annual Inspection
    3. Inspection Due to Complaint
    4. Re-inspection Due to Prior ‘Conditional’ or ‘Unsatisfactory’ Rating
    5. Other (please explain):
13. Other
15. Was the purpose of the visit clearly explained at the start of the inspection?

    1. Yes
    2. No
17. Comments
19. Did the inspector communicate in a way that was clear and easy to understand?

    1. Yes
    2. No
21. Comments
23. Did you have the opportunity to ask questions?

    1. Yes
    2. No
25. If yes, were the questions answered fully?

    1. Yes
    2. No
27. If violations were cited at your facility….

    1. Yes
    2. No
29. Comments
31. Did the inspector explain the code that is being violated?

    1. Yes
    2. No
33. Comments
35. Was the interaction with staff: (Please check all that apply)

    1. Professional
    2. Polite
    3. Matter-of-fact
    4. Rude
    5. Other

     

37. Comments
39. Is English your native language?

    1. Yes
    2. No
41. If not, what is your native language?
43. If you have any specific feedback or concerns about an inspector, please provide it here:

45. If you would like a response, please provide your name and contact information below:

47. Name (optional)
49. Phone (optional)
51. Email (optional)
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field