Housing Quality Standards (HQS) Inspections Survey

1. Did the inspector provide excellent customer service during the inspection? Yes No Comments:

2. Did the inspector arrive within the scheduled time frame? Yes No   Comments:

3. Was the inspector courteous? Yes No   Comments:

4. Was the inspector's appearance professional? Yes No   Comments:

5. Was the inspector willing to address all of your concerns? Yes No   Comments:

6. The length of time to complete inspection --- 10 Minutes or less 10 - 20 Minutes 20 - 30 Minutes 30 - 40 Minutes 40 - 50 Minutes 50 - 60 Minutes More than 1 hour

Inspection Date

Inspection ID (if known)

Contact Name

Property Owner/Manager or Participant --- Property Owner/Manager Participant

Owner # or Voucher #

Contact Phone

Contact E-mail

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I authorize the Chicago Housing Authority to use my testimonial in future marketing campaigns, including advertisements and promotions, related to the Housing Choice Voucher (HCV) Program.