Skip to Main Content

Create a Website Account - Manage notification subscriptions, save form progress and more.

Website Sign In

Customer Service
About Us
Our Water
Development
Resources

Search

Privacy Policy

Home
Form Center

Form Center

Search Forms by:

Enter Search Terms Select a Category

Select category/categories to filter

All Categories
Contact Us
Customer Service

Elections
Engineering
Human Resources

News & Alerts
System Development

Search

By signing in or creating an account, some fields will auto-populate with your information.

Customer Survey

Sign in to Save Progress

This form has been modified since it was saved. Please review all fields before submitting.

Steps

1. Section 1(current) This section is complete This section is incomplete
2. Section 2 This section is complete This section is incomplete
3. Section 3 This section is complete This section is incomplete
4. Section 4 This section is complete This section is incomplete

Section 1

What is your age?*
1. <25
2. 25 - 34
3. 35 - 44
4. 45 - 54
5. 55 - 64
6. >65
Gender?*
1. Male
2. Female
Which of the following describes your home?*
1. Site-Built
2. Manufactured
3. Apartment/Multifamily
4. Duplex/Multiplex
How many people reside in your household?*
1. 1
2. 2
3. 3
4. 4
5. 5
6. >6
Do you own or rent?*
1. Own
2. Rent
How many years have you been a customer?*
1. <1
2. 1 - 2
3. 3 - 5
4. 6 - 10
5. 11 - 15
6. >15
Continue

Section 2

Have you had any interactions with JCSUD?*
1. Yes
2. No
Who was the contact with?*
1. Office Staff
2. Field Staff
3. Both
4. N/A
What was the method of contact?*
1. Phone
2. In-person
3. Email
4. Mail
5. Social Media
6. Other
What was the nature of the contact?*
1. Make a payment
2. Meter Concern
3. Complaint
4. Billing question
5. Water quality
6. Sewer system
7. Compliance
8. Leak
9. Start New Service
10. N/A
How satisfied were you with the contact?*
1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied
6. N/A
If you were dissatisfied with your contact, did you discuss your concern with a manager?*
1. Yes
2. No
3. N/A
Did the manager resolve your concern?*
1. Yes
2. No
3. N/A
Continue |Go Back

Section 3

Politeness and courteousness of staff*
1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied
6. N/A
Overall responsiveness to your request, question, or concern*
1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied
6. N/A
Overall resolution to your issue or request*
1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied
6. N/A
Have you used any of the following services intended to enhance your customer experience with JCSUD?*
1. JCSUD website
2. Online bill payment
3. Afterhours Call Service (Daupler)
4. Leak Adjustment Form
5. CareShare
6. N/A
How satisfied are you with these new services?*
1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied
6. N/A
Continue |Go Back

Section 4

Are you aware of the JCSUD WaterSmart Customer Portal?*
1. Yes
2. No
Are you currently registered with WaterSmart?*
1. Yes
2. No
If yes, how did you find out about WaterSmart?
1. Office Staff
2. New Customer Packet
3. Social Media
4. JCSUD Website
5. Community Event
6. Other
If not, which features would make you most likely to register for WaterSmart? Check all that apply.
1. Track Water Usage
2. High Usage/Leak Alerts
3. Emergency Notifications
4. Pay Bill Online
5. Customized Water Conservation Tips
6. Bill Forecasting
7. Enroll in Paperless Billing
Do you and/or your family implement any water conservation practices? Check all that apply.
1. Water-efficient Appliances
2. Drip Irrigation System
3. Efficient Sprinkler Schedules
4. Utilize Drought-tolerant Plants for Landscaping
5. Repairing Indoor and Outdoor Leaks
Johnson County Special Utility District releases a "Consumer Confidence Report (CCR)" in June of each year on the District's website, which provides information about our water quality. Have you ever reviewed this report?*
1. Yes
2. No
3. Not aware of the report
Please provide any additional comments that you feel would be helpful. If you have a specific concern you would like to be addressed, please leave a brief description, name, and contact email or phone number.

Leave This Blank:

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

This field is not part of the form submission.
Submit | Go Back

* indicates a required field

Report After Hours Emergency

Pay My Bill

Start Service

Agendas and Minutes

Employment

Contact Us

Contact Info

740 FM 3048
Joshua, TX 76058
Phone: 817-760-5200
Emergencies: 817-760-5200 - Press Option 1
Contact Us

Quick Links

Manage My Account
Pay My Bill
Water Services
Meeting Agendas
FAQs

/QuickLinks.aspx

Helpful Links

Home
Site Map
Accessibility
Privacy Policy
Employee Portal

/QuickLinks.aspx

Government Websites by CivicPlus®

Loading

Loading

[]