2. Adaptive Form Title
  3. ROW CSJ Number :
  4. Parcel Number :
  5. Displacee Name :
  9. Check Box
  10. Average1
  11. BelowAverage1
  12. Poor1
  13. Notapplicable1
  15. Excellent2
  16. Good2
  17. Average2
  18. BelowAverage2
  19. Poor2
  20. NoApplicable2
  23. Good3
  24. Average3
  25. Belowaverage3
  26. Poor3
  27. notapplicable3
  29. Check Box
  30. Good
  31. Check Box
  32. Check Box
  33. Check Box
  34. Check Box
  36. Check Box
  37. Check Box
  38. Check Box
  39. Check Box
  40. Check Box
  41. Check Box
  43. Check Box
  44. Check Box
  45. Check Box
  46. Check Box
  47. Check Box
  48. Check Box
  50. Check Box
  51. Check Box
  52. Check Box
  53. Check Box
  54. Check Box
  55. Check Box
  57. Check Box
  58. Check Box
  59. Check Box
  60. Check Box
  61. Check Box
  62. Check Box
  63. Comments :
  65. Print

RELOCATION ASSISTANCE SERVICES SURVEY

The Texas Department of Transportation is constantly monitoring the effectiveness of its relocation assistance program. Your feedback is an important part of evaluating these services. After you have completed your move please take a few minutes to complete this evaluation and return it to TxDOT.

How well did your agent explain the relocation process and describe the notices you would receive?

Rate the agent at being able to answer your questions?

How well did the agent explain claim types available to you?

Agents are required to meet with you inperson throughout the entire relocation process. Please rate their performance in this respect?

Rate your agent at being courteous and professional?

Did the relocation agent inform you about other properties in the area and offer to show them to you?

How useful was the printed material provided to you?

Overall, please rate the way your relocation was handled?

Please return completed surveys to:

Right of Way Division

Texas Department of Transportation
125 E. 11th St.


Austin, TX 78701-9909