Environmental Quality

What area of environmental assistance did you request? Please check all that apply:

Air Quality                  Hazardous Waste
Water Quality             Pollution Prevention
Permit Application       Hazardous Materials
Solid Waste                Storm Water Runoff
Resolving a Notice of Violation             

Please check the form(s) of assistance provided to your business:

materials provided     staff meeting        
site assistance visit  telephone call       

Was the assistance provided in a timely manner?

Yes No

Comments:

Did the staff perform assistance in a professional manner?

Yes No

Comments:

Were the materials provided, such as brochures and fact sheets, helpful?

Yes No

Comments:

Was the information provided to you accurate and complete?

Yes No

Comments:

Would you seek assistance from the Business Assistance Program again?

Yes No

Why?

How would you compare PDEQ's Business Assistance Program with similar programs provided by other regulatory agencies?

Better
Worse
Same
Don't Know

Comments:

Are you presently implementing any pollution prevention practices at you place of business as a result of assistance provided to you by the Business Assistance Program?

Yes No

Comments:

Please provide other comments here, including suggestions for improvements to the program.

Please provide the following contact information:

               Name   
Business Name    
           Address    
                Date    
  Email Address