Thank you for visiting the City of Clarence-Rockland.  We value all of our customers and strive to meet everyone's needs.  We look forward to receiving your feedback in regards to the accessibility of our services.

When did you visit us?

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* 1. When did you visit us?

Date / Time
Did we respond to your needs on this visit?

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* 2. Did we respond to your needs on this visit?

Was our customer service provided to you in an accessible manner?

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* 3. Was our customer service provided to you in an accessible manner?

Did you have any problems accessing our goods and/or services?

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* 4. Did you have any problems accessing our goods and/or services?

Do you have any other comments, questions, or concerns in regards to the accessibility of our services?

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* 5. Do you have any other comments, questions, or concerns in regards to the accessibility of our services?

If you would like us to acknowledge receipt of your feedback, please provide your contact information below:

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* 6. If you would like us to acknowledge receipt of your feedback, please provide your contact information below:

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