Website Comments and Suggestions

2. Date*
   Date
   Today's Date
4. First Name
5. Last Name
7. Phone Number
8. Email Address
10. Are you a resident of the City of Orange?*

    1. Yes
    2. No
11. How often do you access the City of Orange Website?

    1. Rarely
    2. 1-2 Times a Week
    3. 3-4 Times a Week
    4. More than 5 Times a Week
13. What is your primary purpose for using our website?
15. Please provide your feedback on our website.
17. Do you have any other suggestions for improving our website?
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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