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Welcome to the City of Farmington, MO, Action Line
Today is Friday, May 29, 2020.
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:

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

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

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

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

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).

Additional Comments:


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

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

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