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2. How did we do?
4. Anonymous?

   1. Yes
6. First Name
7. Last Name
9. Email
10. Phone Number
12. Date and Time of Visit*
    Date and Time of Visit

    Date and Time of Visit
14. What Department or Division did you visit, communicate with or try to contact?
    -- Select One --AdministrationCity AttorneyCity ClerkCity TreasurerEconomic & Community DevelopmentFinanceFire ServicesHousing ProtectionHuman ResourcesInformation Technology & CommunicationsPublic LibraryOffice of Emergency ServicesParking & Traffic DepartmentParks, Recreation & Community ServicesPolicePublic WorksResidential Sound Insulation DepartmentSection 8/CDBG Department
16. Name of city employee you talked to or tried to contact?
18. Were you helped promptly?*

    1. Yes
    2. No
20. Were staff knowledgeable and professional*

    1. Yes
    2. No
22. Please rate your satisfaction with the service you received, 5 being excellent and 1 being poor.*
    -- Select One --5 - Excellent4 - Above Avergae3 - Average2 - Below Average1 - Poor
24. How can we do better?
26. Would you like the City to follow up with you regarding your visit?*

    1. Yes
    2. No
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28. Submit

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