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2. Survey
4. Date of Contact (mm/dd/yyyy)*
5. Type of Contact*
   -- Select One --Meet With StaffPhoneEmailPublic Meeting
6. Staff Member Contacted:*
   -- Select One --Matt Ament Denise Aubuchon Mike HarneyClaudia Hartman John McCreeryMark McReynoldsTommie NealJoe RodriguezMara Perry
8. What was the nature of your contact?*

   1. Housing Inspection
   2. Construction Inspection
   3. Telephone Conversation
   4. Office Visit
   5. Other
10. Was the Staff Member courteous?*

    1. Yes
    2. No
12. If no, please explain:
14. If you had an appointment, did the Staff Member arrive during the scheduled timeframe?

    1. Yes
    2. No
    3. NA
16. If no, were you notified by Staff?

    1. Yes
    2. No
18. Did the Staff Member answer your questions, provide an explanation of violations, issues, City Code, etc. or refer you to the appropriate person for an answer?*

    1. Yes
    2. No
20. Rate the Service you received:*

    1. Excellent
    2. Above Average
    3. Average
    4. Below Average
    5. Unsatisfactory
22. Comments or Suggestions:
24. Contact Information:
26. If you would like someone to contact you, please let us know the most convenient method and time:
    
    
28. Your Name:
29. Phone:
31. Address:
32. Email Address
34. Best Time to Contact:
35. Preferred Method of Contact:

    1. Email
    2. Telephone
    3. Letter
37. 
    
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field