Public Comment Feedback Form
Share your feedback, comments, or suggestions on the issue or project. Your input helps us make informed decisions.
Your Full Name
First Name
Last Name
Email Address
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example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Which topic or project are you commenting on?
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Please Select
City Planning Proposal
Environmental Policy
Transportation Initiative
Community Event
Other
Please select the type of comment you are submitting:
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Support
Oppose
General Feedback
Suggestion
Other
How strongly do you feel about this topic?
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Not at all
1
2
3
4
Extremely strongly
5
1 is Not at all, 5 is Extremely strongly
Please provide your comments or feedback:
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Would you like your comments to be made public?
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Yes, you may publish my comments (with my name)
Yes, but keep my name anonymous
No, keep my comments confidential
May we contact you for follow-up or clarification?
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Yes
No
Which of the following best describes you?
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Resident
Business Owner
Community Organization Member
Student
Other
What is your age group?
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Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
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