(Or Safety Concern)

Please help us by completing these 5 questions to better understand and resolve your problem.

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* 1. What was the date that you noticed the issue?

Date

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* 2. Did you notify the staff of this repair?

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* 3. Where was the location of this repair/safety concern?

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* 4. Please describe the issue in detail. (Include detailed location and any other pertinent information)

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* 5. May we contact you (if needed) to get more information on this situation or to follow up with you? (If yes, please include contact information below)

THANK YOU!
Thank you for taking the time to make the facility and our services better. Safety and Customer Service are paramount to our board and organization.
-Des Moines Pool Metropolitan Park District Board of Commissioners

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