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2. Name*
4. Email or Phone
6. Are you a:

   1. Resident
   2. Parent/Guardian
   3. Program Participant
   4. Visitor
   5. Other
10. What location or program is your feedback about?*
12. Type of submission:
    -- Select One --General FeedbackMaintenance ConcernSuggestion or IdeaComplimentQuestion
14. Tell us more:
18. How would you rate your overall experience?

    1. Excellent
    2. Good
    3. Okay
    4. Needs Improvement
22. Thank you for helping us keep Dothan’s parks, programs, and spaces welcoming for everyone!
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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