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Welcome to the Village of Antioch, IL, Action Line
Today is Wednesday, August 16, 2017.
Antioch Event Feedback Form

Please give us your feedback on our events and feel free to offer any suggestions on how we can improve them. Thank you.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone: (
Fax: (
Address:
City:
State:
ZIP:

* Which event did you attend?





 
If you selected "Other" from the list above, please indicate which event you attended.
 
What did you like about this event?
 
If you could change something about the event, what would you change?
 
How would you rate the organization of the event?





 
How would you rate the service at the event?





 
Overall, how would you rate the event?





 
Will you attend the event again?



 
If you answered "NO" to the question above, please explain your response.
 
Will you recommend this event to a friend?



 
If someone at the event went out of their way to make it a great event, please tell us who.
 
What did they do to help make it a great event?
 
Would you like to volunteer for an upcoming event? If so, please provide your contact information above.


 
What event, which we do not currently offer, would you like to see in the future?
 
Would you be interested in donating a non-perishable food item to the Open Arms Food Pantry at a Parks Department Event?



 
Please provide additional comments below.
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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