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2. Which City Department(s) Did You Interact With or Visit?*

   1. City Clerk
   2. Community Development
   3. Finance
   4. Fire
   5. Human Resources
   6. Mayor's Office
   7. Parks & Recreation

   1. Golf
   2. Police
   3. Streets
   4. Utility Billing
   5. Wastewater Treatment
   6. Water
   7. Other
4. Who Assisted You?*
6. Date and Time of Contact
   Date and Time of Contact

   Date and Time of Contact
8. Please Indicate the Reason for Your Contact*
10. Were you Treated in a Timely, Courteous and Professional Manner.*

    1. Yes

    1. No
12. Please Explain
14. Contact Information (Optional)
16. Name
17. Email Address
19. Address
21. City
22. State
23. Zip Code
25. Phone Number
27. Should We Contact You?

    1. Yes
    2. No
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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