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2. Your name (optional):
4. Your email (optional):
6. Would you like us to follow-up with you regarding this survey?*

   1. Yes
   2. No

   (Note: if you would like us to follow-up with you, please include your name and email address above.)

8. Do you currently live in Roswell?*

   1. Yes
   2. No
10. Date you first made contact with this City Department.
    Date you first made contact with this City Department.
12. City Department you contacted: *
14. Name of City staff you contacted: *
16. Method of this contact (check one):*

    1. Phone Call
    2. Left Voicemail
    3. Email
    4. In Person
    5. Other
17. For other method of contact, please explain:
19. If you left message, voicemail or sent email, what date staff contacted you back.
    If you left message, voicemail or sent email, what date staff contacted you back.
21. Staff was (check all that apply):

    1. Helpful
    2. Unhelpful
    3. Friendly
    4. Unfriendly
    5. Answered questions well.
    6. Didn't know answers, but directed me to someone who did.
    7. Did not answer my questions.
23. What information or service did you request? (describe briefly):*
25. What response did you receive from your request? (describe briefly): *
27. Overall rating of service you received, from 1 to 5 - with 1 being poor and 5 being excellent: *

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
29. Please leave additional comments or suggestions here:

    
    

    Or to speak directly to us, call Public Affairs at 575.624.6700. 

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31. 1. Receive an email copy of this form.
32. Email address

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33. Submit

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