Please tell us how we did!
1) With whom in the City did you interact or visit?
2) Who assisted you?
3) Overall, how satisfied were you with interaction?
We CARE! Tell the Mayor & City Council how we did!
4) Date and Time of your contact: Date: Time:
5) Reason for your contact:
6) Did our service meet your needs? (If No, please explain below)
Your contact information: (Optional)
Name: Email:
Address: Phone:
City: State: Zip:
Should we contact you?