Business Feedback Form

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Please correct the fields below:

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

The Township of Franklin would like to provide the best services possible to all who visit and interact with our municipality. Please complete the form below so that we can evaluate our progress.

1

Please indicate how you interacted with the Township of Franklin.

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Please indicate how you interacted with the Township of Franklin.

2

Date of Interaction with Franklin Township

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Date of Interaction with Franklin Township

3

Please indicate which departments you interacted with on your most recent visit or call to the Township of Franklin.

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4

Please Tell us the reason for your visit

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Please Tell us the reason for your visit

5

How would you rate the following areas

	Excellent	Good	Fair	Poor
Level of Knowledge	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas
Level of Service	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas
Level of Courtesy	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas	How would you rate the following areas

6

Was your issue or reason you interacted with Franklin Township today resolved satisfactorily?

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Was your issue or reason you interacted with Franklin Township today resolved satisfactorily?

Yes

No

7

Would you like a member of the Township Management to contact you regarding this feedback?

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Would you like a member of the Township Management to contact you regarding this feedback?

Yes

No

8

If you would like a member of the staff to contact you please leave us your contact information below:

Name

Address

Phone Numberext.

Email

9

Please provide us with any additional feedback:

To receive a copy of your submission, please fill out your email address below and submit.
Email Address