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Welcome to the Village of Lincolnwood, IL, Action Line

Today is Saturday, November 21, 2009.

Parks and Recreation Program Evaluation

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Thank you for participating in a Lincolnwood Parks & Recreation Department program. Please take a few seconds to complete this program evaluation, so that we can better serve you in the future.

* Information is required.

Contact Information

* First Name:
* Last Name:
Email:
Address:
City:
State:
ZIP:

Issue/Problem Location:

Please select the closest street number/streetname of problem location from list or select "Choose street from dropdown". Provide any additional information on problem location in the box below.

* Address:	- Or Other Not Listed -
Unit:

	Provide any additional information on problem location in the box below.

* Name of program that you participated in.

* Rate the program instructor.

Excellent

Good

Satisfactory

Could Be Improved

Poor

* Rate the program facility.

Excellent

Good

Satisfactory

Could Be Improved

Poor

* Rate the program fee.

Excellent

Good

Satisfactory

Could Be Improved

Poor

* Rate the program date.

Excellent

Good

Satisfactory

Could Be Improved

Poor

* Rate the program time.

Excellent

Good

Satisfactory

Could Be Improved

Poor

* Rate the brochure/flyer description of the program.

Excellent

Good

Satisfactory

Could Be Improved

Poor

Rate the entertainment. (If any)

Excellent

Good

Satisfactory

Could Be Improved

Poor

Rate the food/beverage/snacks. (If any)

Excellent

Good

Satisfactory

Could Be Improved

Poor

* If you answered COULD BE IMPROVED or POOR as the answer in any category, please explain why.

* How did you hear about this program?

Brochure

Flyer

Friends

Cable

Newsletter

If the program was held at a school location, was the communication with the school effective. (Were there any problems?)

Are there any programs and/or trips that you would like the Lincolnwood Parks & Recreation Department to offer?

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
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