Feedback Type
General Feedback
Compliment
Concern
Other
Your Name
Address Line 1
Address Line 2
City
State
Zip Code
Email Address
Phone Number
Best time to call
How satisfied are you with the customer service you received from our staff?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with the services and/or resources provided to you?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with the event/workshop/class that you attended (if applicable)?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
Event Name
How satisfied are you with Parking?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with Entrance/Exit?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with the facility's Reception Area/Front Desk?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with the facility's Restrooms?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
How satisfied are you with facility's Program Spaces?
5=Highly Satisfied
4=Satisfied
3=Somewhat Satisfied
2=Not very Satisfied
1=Not at all Satisfied
N/A=Not Applicable
Please provide any additional information on how we can improve our facility or services. You can also provide a compliment or concern.