* 1. Name

* 2. Email

* 3. Address

* 4. Phone

* 5. Please rate your overall level of satisfaction with the following City services:

  Not Satisfied Satisfied Very Satisfied No Answer
City Streets
Street Lighting
Leaf and Brush Pickup
City Water Services
City Sewer/Wastewater Services
City Sidewalks
Parks and Recreation
Library Services
Woodlawn Cemetery
Downtown Leslie Appearance
City Office Services
Police Department
Fire Department
Elections
Public Notification/Communications

* 6. What do you consider the overall condition of the City streets?

* 7. How would you rate the level of street maintenance undertaken by the City?

* 8. How would you rate the cleanliness of the City streets (free of obstruction, littering, etc.)

* 9. How important do you consider maintaining or improving the current quality of City streets?

* 10. How would you rate the level of street lighting throughout the City? 

* 11. Please use the field below to provide any further comments regarding City streets and street lighting.

* 12. Please use the field below to provide any comments regarding City leaf and brush pickup. 

* 13. How would you rate the City's current water quality?

* 14. If you rated the City's water quality as either Poor or Very poor, can you explain why you rated the water that way?

* 15. Please use the field below to provide any further comments regarding the City's water service and quality.

* 16. How would you rate your current satisfaction with the City's sewer/wastewater services?

* 17. If you rated the City's sewer/wastewater services as either Poor or Very poor, can you explain why you rated it this way?

* 18. Please use the field below to provide any further comments regarding the City's sewer/wastewater services

* 19. How often would you say you use the City's sidewalk system?

* 20. How would you rate your current satisfaction with the condition of the City's sidewalks?

* 21. How would you rate the amount of sidewalks within the City and the ability for you to use the sidewalks to get to various places within the City? 

* 22. Please use the field below to provide any further comments regarding the City's sidewalk program. 

* 23. Please indicate which of the following City parks you have visited and the frequency that you visit them:

  Never Weekly Monthly Annually
Russell Park
Washburn St. Ball Fields
Tuttle Park
Church Street Softball Fields
Hull Road Trailway
Basketball Courts (Main Street)

* 24. For the facilities that you have visited in the past year, please indicate your level of satisfaction with the parks condition overall:

  Poor Fair Excellent No answer
Russell Park
Washburn St. Ball Fields
Tuttle Park
Church Street Softball Fields
Hull Road Trailway
Basketball Courts (Main Street)

* 25. For the facilities that you have visited in the past year, please indicate your level of satisfaction with the cleanliness of the parks.

  Poor Fair Excellent No answer
Russell Park
Washburn St. Ball Fields
Tuttle Park
Church Street Softball Fields
Hull Road Trailway
Basketball Courts (Main Street)

* 26. Please use the fields below to provide any further comments regarding the City's parks and recreation opportunities. 

* 27. How often would you say you use the City's public library?

* 28. Please indicate the frequency you use the following library services:

  Weekly Monthly Annually Never
Book check out or use
DVD/Digital media check out or use
Events
Computer/Internet use
Other

* 29. Please rate your level of satisfaction with the following library services:

  Not Satisfied Satisfied Very Satisfied No Answer
Content of library collection
Programming/Event content
Customer Service
Cleanliness
Hours of Operation

* 30. Please rate your level of satisfaction with the following conditions regarding the Woodlawn Cemetery:

  Not Satisfied Satisfied Very Satisfied No Answer
Overall Appearance
Cleanliness
Maintenance and Upkeep
Customer Service

* 31. Please use the field below to provide any additional comments regarding the Woodlawn Cemetery. 

* 32. How often would you say you visit Downtown Leslie?

* 33. How would you rate the overall condition of Downtown Leslie?

* 34. Please rate each of the following Downtown Leslie amenities and conditions:

  Poor Fair Excellent No Answer
Cleanliness
Upkeep and maintenance of sidewalks
Trees, flowers, and landscape
Gathering spaces (benches, seating, etc)
Storefront appearances
Decorations, banners, etc.

* 35. How would you rate the amount of parking in Downtown Leslie? 

* 36. Please use the field below to list any businesses or amenities that you would like to see in Downtown Leslie. 

* 37. Please use the field below to provide any further comments you have regarding Downtown Leslie. 

* 38. How often would you say you visit the Leslie City Offices?

* 39. How would you rate the overall condition of the Leslie City Offices?

* 40. Please rate each of the following services that you have received at the Leslie City Offices:

  Poor Fair Excellent No Answer
Overall customer service
Overall professionalism
Promptness of response
Assistance with building permits/issues
Assistance with zoning issues
Assistance with utility issues
Help with general inquiries
Assistance with applying for City job

* 41. Please use the field below to offer any further feedback regarding services at the City Offices. 

* 42. In the past 12 months, have you had any contact with a Leslie Police Officer?

* 43. If yes, how would you rate your overall encounter with the Leslie Police Department?

* 44. Please rate each of the following with regard to your encounter with a Leslie Police Officer:

  Poor Fair Excellent No Answer
Overall customer service
Overall professionalism
Promptness of response
Follow up (if necessary)

* 45. How safe do you feel in the City of Leslie?

* 46. How important are the following police services to you?

  Not Important Important Very Important No Answer
Traffic Enforcement
Foot Patrol
Bike Patrol
Motorcycle Patrol
Cruiser Patrol
Community Outreach

* 47. Please use the field below to offer any further feedback regarding Police Department services. 

* 48. In the past 12 months, have you had any contact with the Leslie Fire Department?

* 49. How would you rate the overall encounter you had with the Leslie Fire Department?

* 50. What type of interaction did you have with the Fire Department in the past 12 months?

* 51. Please rate each of the following with regard to your encounter with a Leslie Fire Department representative:

  Poor Fair Excellent No answer
Overall customer service
Overall professionalism
Promptness of response

* 52. Please use the field below to offer any further feedback regarding Fire Department services. 

* 53. What is your primary source for current event information?

* 54. How would you rate your current satisfaction with the communication from the City of Leslie? 

* 55. If you rated the communication from the City of Leslie as Poor or Very Poor, please let us know why you rated it that way. 

* 56. Do you follow the City's Facebook page? 

* 57. If you do, how would you rate your current satisfaction with the communication on the City's Facebook page? 

* 58. If you rated the communication from the City's Facebook page as Poor or Very Poor, please let us know why you rated it that way. 

* 59. Please use the field below to provide any further feedback regarding the City's communication.

* 60. The City of Leslie is considering modernizing the City logo. Please use the space below to give us your thoughts on the current City logo. Do you think that the City should keep the logo the way it is, or change it to a modernized version?

* 61. If the City were to propose a dedicated millage to the services below, are you likely to support or oppose these millages? 

  Strongly Oppose Oppose Support Strongly Supoort Unsure
Roads Millage
Leaf/Brush Pikcup
Police Services
Fire Services
Parks and Recreation
Library Facilities

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