Feedback for the Village Question Title * 1. What was the date and time of your interaction with Village staff? Date / Time Date Time AM/PM - AM PM Question Title * 2. What was the location of your interaction? Public Works Parks and Recreation Village Hall Administrative Adjudication Hearing Public Safety (police or fire department) Outdoors Other (please specify) Question Title * 3. Were your expectations of the Village met? Yes No Sort of Other (please specify) Question Title * 4. What was the nature of your inquiry? Question Title * 5. Are you satisfied with how your interaction went? Yes No Sort of Other (please specify) Question Title * 6. To what extent do you feel comfortable seeking assistance from Village staff, and how effective do you find the support they provide? Question Title * 7. What did the Village do well during your interaction and what do you think needs improvement? Question Title * 8. Name and contact information (optional) Question Title * 9. Would you like to request a follow up email or phone call? (Contact information would need to be included in the previous question) Yes No Done
