Click here to return to the E-Government Services start page
 
Welcome to the City of Farmington, MO, Action Line
Today is Tuesday, October 22, 2019.
Community Feedback Request

Purpose. In a continuing effort to provide the highest quality fitness opportunities, programs and activities for our community, we are asking for your feedback. Below you will find a brief survey of our services. All participants responding to this survey with their contact information will be registered to win one of two $25.00 gift cards from the Civic Center.

* Information is required.

Contact Information

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

If you were previously a member of the Civic Center, why did you discontinue your membership?







8
 
Other reason:
 
What types of programs and activities would encourage you to visit or join the Civic Center?




5
 
Additional fitness classes such as:
 
Would you be interested in participating in a complimentary introductory fitness class?






7
 
Other complimentary introductory fitness class:
 
What type of fitness activities do you enjoy?






7
 
Other fitness activities:
 
How long have you lived in the Farmington area?




 
Please indicate the age range of all persons residing in your household (check all that apply).







8
 
Additional Comments:
 

CAPTCHA

Check here to have email confirmation of this submission.

* Information is required.

Thank you for your participation! To learn more about programs and activities offered at the Civic Center, visit www.farmington-mo.gov

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

City Home | E-Gov Home | Action Line | Job Postings | Community Calendar | Online Recreation Services
Utility Bill Payments | Missouri Libraries 2 Go | City Views | News | RSS Feeds | Business Listings
Available Properties | FAQ
Login | Register | Privacy Policy
Copyright ©2004-2019. Electronic Commerce Link, Inc. dba egovlink.