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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