2. Have you used our website before?*

   1. Yes

   1. No
3. How did you find our website?*

   1. Search Engine
   2. Link on other website
   3. Social Media Link
   4. Other
5. Search Engine
7. Other website:
9. Social Media Site
11. How are you accessing our site?
    -- Select One --Mobile phoneLaptop/Desktop Tablet
13. What was your primary (or initial) reason for visiting our site today?*
    -- Select One --Gather informationGet contact info Read news article or calender eventSearch public recordsDownload a file Make an online payment or purchaseOther
15. Specify other reason for site visit*
17. How successful were you in accomplishing what you were trying to do during your website visit?*
    -- Select One --Completely SuccessfulPartially SuccessfulNot At All Successful
19. Please explain why you weren't completely successful *
21. May we contact you by email for follow-up on why your visit wasn't successful?

    1. Yes

    1. No
22. Email
24. For the next section, rate your experience with our website based on the following scale:
    1 - Extremely Poor; 2 - Poor; 3 - Average; 4 - Above Average; 5 - Excellent
26. Overall experience with website visit*
    -- Select One --12345
27. Site organization and Navigation
    -- Select One --12345
29. Quality of content
    -- Select One --12345
30. Visual appeal of the site
    -- Select One --12345
32. Can you provide any specifics on what you ranked as poor?
34. Use the space below to provide any additional comments about our website or suggestions on how we could improve it.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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