Feedback Survey
General Quality of Life and Performance:
Please rate the general quality of life in your town Don't Know/No opinion Poor Below Average Average Good Excellent Please rate the performance of your elected officials Don't Know/No opinion Poor Below Average Average Good Excellent
Change in Quality of Life:
In general do you think life in your town is: Don't Know/No opinion Getting Worse Staying Same Getting Better
Issues that concern you:Please rate from 1 to 10 with 1 being no concern and 10 being extremely concerned.
Any additional comments or suggestions are welcome! What could we improve? How can we help to make your life better?
Information about you ..
Name:
E-Mail Address:
Company Name: (optional)
Press when complete, or to start over.
Thanks very much for your time!
