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2. In your most recent interaction with the City, which Department did you visit?*
   -- Select One --Animal ControlBuilding DepartmentCity AttorneyCity ClerkCode EnforcementCity ManagerEngineeringFinanceFort Pierce City MarinaHuman ResourcesIndian Hills Golf CourseInformation TechnologyPlanningPolice DepartmentPublic WorksPurchasingSunrise Theatre
4. Describe the primary purpose of your visit.*
6. Please select what best describes you:*
   -- Select One --City ResidentCounty ResidentVisitorBusiness OwnerGeneral ContractorTrade ContractorDeveloperPatron/CustomerOther
8. Was our staff professional and eager to assist you in a timely manner?*

   1. Yes
   2. No
9. Was our staff knowledgeable regarding the requirements and procedures necessary to address your concern or need?*

   1. Yes
   2. No
11. Did our staff offer potential solutions to your concern or need?*

    1. Yes
    2. No
12. Were your needs met and your questions answered?*

    1. Yes
    2. No
14. If the person serving you was unable to address your concern or need, were you directed to the appropriate person or other City division?*

    1. Yes
    2. No
15. The information or assistance I was seeking was clearly provided to me. *

    1. Strongly Agree
    2. Agree
    3. Neither Agree nor Disagree
    4. Disagree
    5. Strongly Disagree
17. City staff provided helpful suggestions and information to advance my project.*

    1. Strongly Agree
    2. Agree
    3. Neither Agree nor Disagree
    4. Disagree
    5. Strongly Disagree
18. City staff were responsive and prompt in responding to emails, calls and inquiries.*

    1. Strongly Agree
    2. Agree
    3. Neither Agree nor Disagree
    4. Disagree
    5. Strongly Disagree
20. Overall, the service I received was excellent.*

    1. Strongly Agree
    2. Agree
    3. Neither Agree nor Disagree
    4. Disagree
    5. Strongly Disagree
22. Please provide comments or suggestions about your most recent experience. You may also include any information to help us identify the project of your most recent experience. This is optional, but a big help in our effort to provide exceptional customer service.
24. Would you like to be contacted by someone on our staff about your experience?

    1. Yes
    2. No
26. First Name
27. Last Name
29. Address1
31. Address2
33. City
34. State
35. Zip
37. Phone
38. Email Address
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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