Surveys, Forms and Service Requests

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How Are We Doing?

Please correct the field(s) marked in red below:

1
Why did you contact or visit the City of Charlottesville?
Why did you contact or visit the City of Charlottesville?
2
What department assisted you?
3
The person who handled the call or visit was courteous.
The person who handled the call or visit was courteous.
4
The person who handled your call or visit was able to assist you with your problem or request
The person who handled your call or visit was able to assist you with your problem or request
5
Your call or visit was handled promptly.
Your call or visit was handled promptly.
6
Your request was handled in a satisfactory way.
Your request was handled in a satisfactory way.
7
Are there any comments or recommendations you would like to make, or any suggestions to help us improve our service?
8
Please provide us with an email address at which we can reach you to follow-up on your comment or issue.
  1. To receive a copy of your submission, please fill out your email address below and submit.