IDEM: Technical Assistance Customer Service Survey

IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

IDEM Home

IDEM > Your Community > Awards > 2013 Governor's Awards for Environmental Excellence > Gov Awards: Past Recipients > Technical Assistance Customer Service Survey Technical Assistance Customer Service Survey

Thank you for recently utilizing the services provided by IDEM’s environmental assistance program in the Office of Pollution Prevention & Technical Assistance (OPPTA)! OPPTA's goal is to provide high-quality technical assistance on environmental compliance, pollution prevention, recycling and community environmental health and education issues. Whether you called us to ask a question, met with us personally, or attended a workshop, we hope you found the experience worthwhile. To ensure we continue to be effective in the services we provide, we need your input on how your particular experience went. Please take a few moments to complete and submit the brief survey below within the next two weeks.

Confidentiality is not guaranteed if you submit this form over the Internet or via email. To ensure confidentiality, just fax or mail your response, use the downloadable copy of the Environmental Assistance Follow-Up Survey [PDF] or call (800) 988-7901.

Activity ID (please refer to OPPTA letter):

1) How did you hear about OPPTA Services?

If other, please describe:

2) How long has your business been operating?

3) How many employees do you have at your facility

4) What areas did you need assistance with? Please check all that apply:
Pollution Prevention
Recycling
Recognition/Awards or OPPTA programs
Air
Water
Waste
Clean Up/Contamination
Spill Rule
Industry-specific (drycleaner, vehicle maintenance shop, etc.):

Other:

5) What type of assistance were you provided?
Phone Assistance
On-site Visit
Workshop
Other

6) Please rate the services you received from OPPTA on a scale from 1 to 5 for each of the following areas: (5-Excellent, 4-Very good, 3-Good, 2-Satisfactory, 1-Unsatisfactory)

OPPTA staff knowledge:

Relevance of the recommendations to your facility:

Timeliness of follow-ups, meetings, and returned calls:

Usefulness of recommendations, reports, and materials:

Compliance Assistance:

If P2 please skip to #9

7) For which environmental media was compliance assistance provided? Check all that apply:
Air
Hazardous Waste
Wastewater
Stormwater
Underground Storage Tanks
Polychlorinated Biphenyls (PCB's)
Monitoring
Permitting (air, water or land)
General
OSHA
Drinking Water
Solid Waste
Spill
Toxic Release Inventory
Recordkeeping Requirements

8) What environmental or economic impact did you receive as a result of working with CTAP?
Reduced risk of enforcement
Use of Self-Disclosure Policy and reduced penalties
Improved worker safety/health Improvement to operational efficiency
Other (please explain):

Proceed to Question #11

Pollution Prevention (P2):

9) What Pollution Prevention activities or operational changes, if any, were implemented at the facility based on suggestions from OPPTA?
Employee Training
Spill/leak Prevention
Waste Segregation
Inventory and Materials Handling
Closed-loop Recycling
Energy Efficiency
Map Processes
Modify Equipment
Improve Equipment Efficiency
Substitute Hazardous Materials with Less Hazardous Materials
Direct Reuse
Water Conservation
Develop a P2 Team
Develop an EMS (ie. ISO 14001)
Modify Process

10) For those projects implemented, please indicate the results by completing the following section:
If you would like assistance from OPPTA in completing this section, please check here

Reduction in Toxic/Hazardous Materials Used
lbs/yr reduction in toxic/hazardous materials used	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Reduction in Raw Materials Used
lbs/yr reduction in raw materials used	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Reduction in Water Used
gal/yr reduction in water used	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Reduction in Energy/Fuel
kWh/yr electricity therms/yr natural gas tons/yr coal gal/yr diesel fuel miles/yr vehicle miles gal/yr water usage other:	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Waste Reduced
Did you lower your status to an SQG?
lbs/yr hazardous waste lbs/yr hazardous waste diverted to recycling/reuse	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
lbs/yr solid waste lbs/yr solid waste diverted to recycling/reuse	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Air Releases Reduced
tons/yr CO₂ reduced tons/yr NO_x reduced tons/yr SO_x reduced tons/yr PM reduced tons/yr VOCs reduced (non-HAP) tons/yr HAP reduced tons/yr other	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)
Wastewater Reduced
gal/yr industrial wastewater discharge avoided	Initial Cost
	(non capital) (capital)
	Savings
	(one time) (annually)

Additional Information

11) What is your primary job responsibility?

If Other, please describe:

12) Would you like to receive IDEM-OPPTA updates and regulatory information via e-mail?
Yes (e-mail address)
No

13) Would you use OPPTA again?
Yes
No

14) Please give any suggestions that could improve OPPTA services:

Your Name: (Optional)
Your Phone Number: (Optional)

Thank you for taking the time to fill out our survey.

Questions or comments about this site may be addressed to ctap at idem.IN.gov