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PLEASE
USE A SEPARATE FORM FOR EACH COMMENT/COMPLAINT
This form is meant to be used for assistance
with the website, not department or personnel
issues; we have alternate sites for those
requests/suggestions:
General Guest
Feedback Form
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What is the nature of your comment? |
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Comment Problem Suggestion Praise |
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Which
Web Page (URL/Address) is this
comment/complaint about (if applicable)? |
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| Your
Name (or person you are assisting with this
form): |
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If you request a response for this
comment/complaint, you must provide either
an email address (preferred) or an
address/telephone number below. |
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| Your
Email Address: |
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| Your
Postal Address: (Number & Street) |
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City, State & Zip code |
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Your telephone number: (include area code) |
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| Do
you want to be anonymous? If you
wish to remain anonymous, we may
not
be able to address your specific issue.
Every effort, however, will
be made to do so
without revealing your identity. |
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YES NO |
Describe your comment/complaint
(Be
specific - who, what, when, where, how): |
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| Do
you wish to be contacted about this? |
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Yes, please respond.
No need to respond. |
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