You will be assisting the City of Sweet Home Public Works and Utility Billing Department by providing useful information concerning
our community and how service to our citizens can be enhanced. When completing this form, it is not
necessary that you provide your name or address as anonymous submissions will be accepted. When
completed, please press the Submit button, or if you prefer, print it out and mail to the address
provided at the end of the survey.

Demographic Questions

Do you currently live within the city limits of Sweet Home*

Yes

No

If yes, how long have you resided within the city limits? Please include time at all locations within the city you have resided.*

Select One Less than a Year 1-3 Years 4-10 Years 10+ Years I do not live in Sweet Home

Do you currently own or rent
your place of primary residence?*

Own

Rent

What is your age?*

18-24 25-34 35-44

45-54 55-64 65+

What is your gender?

Male

Female

Do you currently have an active (or have you ever had a) water and/or sewer account with the City of Sweet Home?*

Select One Yes - I have an active account No - but I had one in the past N/A - I have not ever had an account

Have you ever had the need to contact the Public Works or Utility Billing Department?*

Yes

No

If you answered "Yes" above, how would you rate the level of customer service you were provided? *

Select One Excellent - Professional, Courteous and Helpful Adequate - What I would expect Poor - Customer Service Training could be beneficial N/A - I answered No above

Who was the staff person that worked with you?*

Select One Mike Cindi Mary Kevin Rita Patricia Other I don't remember

What was your primary reason for contacting the Public Works and/or Utility Billing Department?*

Please Select Water / Sewer Service Request Engineering Questions General Information Request Department Complaint Other

If you chose "Other" please describe.

Comments Section

What You like best about the Public Works and/or Utility Billing Department:

What improvements would you most like to see
implemented:

Other comments or ideas:

Contact Information

Would you like someone from the Department
to contact you regarding your responses?

Yes

No

If you answered yes, please provide at least one of the next two.

Telephone Number:

Email Address:

If you have any additional comments, please contact the Director of Public Works
at (541) 367-6243 ext 244, or write to us at: City of Sweet Home Public Works Department,
Attn: Survey Response, 1140 12th Avenue Sweet Home, OR 97386