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2. Name*
3. Email Address*
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
12. Fax Number
14. What Village Department would you like to rate?*
    -- Select One --AdministratorBuilding ServicesEconomic DevelopmentEmergency Management (EMA)Executive Administrative AssistantFinanceFront OfficeHuman ResourcesITParks and RecreationPolice DepartmentPublic WorksVillage Clerk
16. What was the nature of your business/concern? Please briefly describe:*
18. Was the Village representative able to help answer your question or resolve your concern? Please select applicable box:

    1. Yes
    2. No
20. Please select applicable box to rate your experience with your Village Team/Representative:

    1. Excellent
    2. Good
    3. Fair
    4. Poor
22. Please select one of the following to answer the question - I am confident that when I call the Village of Monee, someone will help me with my concern:

    1. Always
    2. Sometimes
    3. Never
24. Could we do something to improve your experience? (Please briefly describe)
26. Do you have any other comments, questions, and/or concerns? Please include below.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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