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2. 
4. The Goochland County Department of Community Development wants to hear from you. Please submit your feedback by filling out the below information. Please provide your information if you would like us to contact you (optional).
6. First Name
7. Last Name
9. Email if you would like us to contact you
10. Phone number if you would like us to contact you
12. Please rate the below items based on your experience in the Community Development Department
14. Quality of the Service Received
    -- Select One --12345

    5 = Excellent 1 = Poor
15. Helpfulness of County Staff
    -- Select One --12345

    5 = Excellent 1 = Poor
17. Knowledge/Expertise of County Staff
    -- Select One --12345

    5 = Excellent 1 = Poor
18. Ease of Permit Application Process
    -- Select One --12345

    5 = Excellent 1 = Poor
20. Timeliness of County Staff Response
    -- Select One --12345

    5 = Excellent 1 = Poor
21. Overall Experience
    -- Select One --12345

    5 = Excellent 1 = Poor
23. What is the one thing we could do better? Please give us comments/suggestions to improve our service.
25. Permission

    Goochland County has my permission to publicly share my survey responses and/or comments, either as quotations, paraphrased, or summarized, so long as I am identified by no more than my initials, first name, or first name and initial of last name.  I understand that Goochland County may use my responses and/or comments in reports, presentations, publications, websites and social media.

26. Yes or No*
    -- Select One --YesNo
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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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