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Customer Service Survey

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

How did we do?
First Name*
Last Name*
Email*
Phone Number
Date and Time of Visit*
Date and Time of Visit
Date and Time of Visit
What Department or Division did you visit, communicate with or try to contact?*
Name of city employee you talked to or tried to contact?
Were you helped promptly?*
1. Yes
2. No
Were staff knowledgeable and professional*
1. Yes
2. No
Please rate your satisfaction with the service you received, 5 being excellent and 1 being poor.*
How can we do better?
Would you like the City to follow up with you regarding your visit?*
1. Yes
2. No