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Friday, February 3, 2012
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Public Works Survey

The City of Redondo Beach, Department of Public Works, strives to provide quality service at all levels at all City maintained facilities.
Please take a moment to let us know how we are doing by completing the following questionnaire.

Let us know when and where.
Please enter the date.
Date 
Please enter the name of the Facility.
Facility 

Please rate your visit by selecting a number for each of the following...

Great

Poor
5 4 3 2 1
Cleanliness/condition of restrooms:
Cleanliness of office/event/meeting rooms:
Cleanliness/condition of walls and paint:
Cleanliness/condition of carpet/floors:
Cleanliness/condition of the walkways:
Cleanliness of the drinking fountains:
Cleanliness/condition of the benches/table:
Cleanliness/condition of the playground equipment:
Appearance and condition of landscaping and grounds:
Overall, how satisfied are you with your visit:

what do we do well?

Where there any concerns or problems you had with maintenance at the facility/park/community center?
please choose one.
Yes No

If yes, please explain:

What should we change?

What can we do to serve you better?

Additional comments:

How can we get in touch with you?
Please enter your name.
Name 
Please enter your address
Address 
Please enter your telephone number
Telephone 
Please enter your email, in the format myname@computer.host
E-Mail 

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