Form Center

2. Hello! The City of Titusville Public Works Department is committed to providing exceptional service to all of our residents, visitors, and customers. By completing our satisfaction survey, you will help us evaluate our effectiveness at meeting your needs. Your input lets us know what we are doing right and/or where we need to make some improvements. Please complete the survey below and tell us about your most recent contact with Public Works.

   Billing & payment issues should not be reported on this form. Please go to the home page and click on the "Report A Concern" button. Billing & payment issues are under the Support Services Department.

4. When did you contact Public Works?*
   When did you contact Public Works?
5. Which Public Works division did you contact?*
   -- Select One --AdministrationEngineeringFacilities MaintenanceFleet MaintenanceSolid Waste & RecyclingStormwater ManagementStreets MaintenanceWater ProductionWater ReclamationWater & Sewer Field OperationsConservation
7. What was the primary reason you contacted Public Works?*

   (Example: The water pressure at my house is low; My garbage did not get picked up. Please be specific.)

9. Overall, how would you rate the quality of service you received?*

   1. Excellent! I wish everything was that easy.
   2. Very Good! Timely response, knowledgeable staff, overall very positive.
   3. Okay. I was able to get the answers/assistance I needed.
   4. Not so good. Took way too much effort.
   5. Poor. Felt like I was walking through mud. No one listened or understood.
11. What did you like about the service you received?*
12. How can we improve the service we provided?*
14. Do you know the name of the person(s) you spoke with?
15. How quickly were your questions/concerns addressed?*

    1. Quicker than expected
    2. About what I expected
    3. Longer than expected
    4. Did not receive a response
17. Would you like us to contact you regarding this matter?*

    1. Yes, by phone
    2. Yes, by email
    3. No, I do not need a response

    If yes, please provide your name.

18. Phone Number
19. Email Address
21. Name
22. 
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field