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Submission: On October 01 via manual from US — Scanned from DE
Submission: On October 01 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="novalidate" data-survey-page-form="">
<div class="questions clearfix">
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<h4 id="question-title-290865347" class="
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<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Please provide your zip code:</span>
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</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
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<label data-sm-radio-button-label="" id="290865347_1981661858_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661858">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 75149 </span>
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<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290865347">
<input id="290865347_1981661859" aria-labelledby="290865347_1981661859_label" name="290865347" type="radio" role="radio" class="radio-button-input " value="1981661859" aria-checked="false">
<label data-sm-radio-button-label="" id="290865347_1981661859_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661859">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 75150 </span>
</label>
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<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290865347">
<input id="290865347_1981661860" aria-labelledby="290865347_1981661860_label" name="290865347" type="radio" role="radio" class="radio-button-input " value="1981661860" aria-checked="false">
<label data-sm-radio-button-label="" id="290865347_1981661860_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661860">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 75180 </span>
</label>
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<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290865347">
<input id="290865347_1981661861" aria-labelledby="290865347_1981661861_label" name="290865347" type="radio" role="radio" class="radio-button-input " value="1981661861" aria-checked="false">
<label data-sm-radio-button-label="" id="290865347_1981661861_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661861">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 75181 </span>
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<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290865347">
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<label data-sm-radio-button-label="" id="290865347_1981661863_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661863">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 75182 </span>
</label>
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<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290865347">
<input id="290865347_1981661865" aria-labelledby="290865347_1981661865_label" name="290865347" type="radio" role="radio" class="radio-button-input " value="1981661865" aria-checked="false" data-other-answer="">
<label data-sm-radio-button-label="" id="290865347_1981661865_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290865347_1981661865">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
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<button id="290865347-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
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<div class="question-row clearfix overlay
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<div data-question-type="datetime_date_only" data-rq-question-type="datetime" class="question-container
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<div id="question-field-213122925" data-qnumber="2" data-qdispnumber="2" data-question-id="213122925" class=" question-datetime qn question date_only">
<h3 class="screenreader-only">Question Title</h3>
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<h4 id="question-title-213122925" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> What date did you contact the City of Mesquite?</span>
</h4>
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<div class="question-datetime-row row-0 clearfix">
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<label id="213122925_1498157759_DMY_label" class="question-datetime-row-text question-body-font-theme row-0 user-generated"> Date / Time </label>
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autocomplete="off" data-date-picker="" data-date-format="mm/dd/yyyy" data-date-language="en" data-format-message="* Please provide date in mm/dd/yyyy format." data-year-message="* Please provide year from 1900 to 9999."
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<label class="input-group-addon btn" for="213122925_1498157759_DMY">
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<button id="213122925-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
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<div class="question-row clearfix overlay
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<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
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<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-290867101" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Which department or division did you contact?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690701" aria-labelledby="290867101_1981690701_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690701" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690701_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690701">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Airport </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
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<label data-sm-radio-button-label="" id="290867101_1981690702_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690702">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Animal Services </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690703" aria-labelledby="290867101_1981690703_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690703" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690703_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690703">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Arts Center </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690704" aria-labelledby="290867101_1981690704_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690704" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690704_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690704">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Building Inspection </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690705" aria-labelledby="290867101_1981690705_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690705" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690705_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690705">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> City Attorney's Office </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690706" aria-labelledby="290867101_1981690706_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690706" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690706_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690706">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> City Manager's Office </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690707" aria-labelledby="290867101_1981690707_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690707" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690707_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690707">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> City Secretary's Office </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690708" aria-labelledby="290867101_1981690708_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690708" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690708_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690708">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Code Enforcement </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690709" aria-labelledby="290867101_1981690709_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690709" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690709_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690709">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Communications and Marketing </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690710" aria-labelledby="290867101_1981690710_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690710" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690710_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690710">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Community Services </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690711" aria-labelledby="290867101_1981690711_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690711" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690711_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690711">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Economic Development </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690712" aria-labelledby="290867101_1981690712_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690712" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690712_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690712">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Engineering </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1992003072" aria-labelledby="290867101_1992003072_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1992003072" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1992003072_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1992003072">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Equipment Services </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690713" aria-labelledby="290867101_1981690713_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690713" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690713_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690713">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Facility Management </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690714" aria-labelledby="290867101_1981690714_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690714" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690714_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690714">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Finance/Budget </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690715" aria-labelledby="290867101_1981690715_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690715" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690715_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690715">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Fire </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690716" aria-labelledby="290867101_1981690716_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690716" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690716_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690716">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> G.I.S. </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690718" aria-labelledby="290867101_1981690718_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690718" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690718_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690718">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Health/Food Inspection </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690719" aria-labelledby="290867101_1981690719_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690719" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690719_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690719">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Housing and Grant Services </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690720" aria-labelledby="290867101_1981690720_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690720" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690720_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690720">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Human Resources </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690723" aria-labelledby="290867101_1981690723_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690723" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690723_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690723">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Information Technology </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690726" aria-labelledby="290867101_1981690726_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690726" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690726_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690726">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Library </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690728" aria-labelledby="290867101_1981690728_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690728" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690728_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690728">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Municipal Court </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1992003073" aria-labelledby="290867101_1992003073_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1992003073" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1992003073_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1992003073">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Neighborhood Services </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690729" aria-labelledby="290867101_1981690729_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690729" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690729_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690729">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Parks and Recreation </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690730" aria-labelledby="290867101_1981690730_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690730" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690730_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690730">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Planning and Zoning </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690731" aria-labelledby="290867101_1981690731_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690731" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690731_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690731">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Police </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690732" aria-labelledby="290867101_1981690732_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690732" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690732_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690732">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Property Tax </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690733" aria-labelledby="290867101_1981690733_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690733" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690733_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690733">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Purchasing </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690736" aria-labelledby="290867101_1981690736_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690736" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690736_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690736">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Solid Waste </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690737" aria-labelledby="290867101_1981690737_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690737" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690737_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690737">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Streets </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690738" aria-labelledby="290867101_1981690738_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690738" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690738_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690738">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Traffic </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690739" aria-labelledby="290867101_1981690739_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690739" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690739_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690739">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Utilities </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690740" aria-labelledby="290867101_1981690740_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690740" aria-checked="false">
<label data-sm-radio-button-label="" id="290867101_1981690740_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690740">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Utility Billing </span>
</label>
</div>
</div>
</div>
<div class="other-answer-container other-answer-option-container">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-290867101">
<input id="290867101_1981690741" aria-labelledby="290867101_1981690741_label" name="290867101" type="radio" role="radio" class="radio-button-input " value="1981690741" aria-checked="false" data-other-answer="">
<label data-sm-radio-button-label="" id="290867101_1981690741_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="290867101_1981690741">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
</label>
</div>
<input id="290867101_other" name="290867101_other" type="text" class="text other-answer-text" size="50" aria-label="Other (please specify)" data-other-text="">
</div>
</div>
</fieldset>
</div>
</div>
<button id="290867101-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 221px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-213124146" data-qnumber="4" data-qdispnumber="4" data-question-id="213124146" class=" question-single-choice-radio qn question vertical_two_col">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-213124146" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> How did you contact the department or division?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498165461" aria-labelledby="213124146_1498165461_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498165461" aria-checked="false">
<label data-sm-radio-button-label="" id="213124146_1498165461_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498165461">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Phone </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498165462" aria-labelledby="213124146_1498165462_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498165462" aria-checked="false">
<label data-sm-radio-button-label="" id="213124146_1498165462_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498165462">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Email </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498165463" aria-labelledby="213124146_1498165463_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498165463" aria-checked="false">
<label data-sm-radio-button-label="" id="213124146_1498165463_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498165463">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Website </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498172763" aria-labelledby="213124146_1498172763_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498172763" aria-checked="false">
<label data-sm-radio-button-label="" id="213124146_1498172763_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498172763">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Office Visit </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498172764" aria-labelledby="213124146_1498172764_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498172764" aria-checked="false">
<label data-sm-radio-button-label="" id="213124146_1498172764_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498172764">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Field/Onsite </span>
</label>
</div>
</div>
</div>
<div class="other-answer-container other-answer-option-container">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213124146">
<input id="213124146_1498165464" aria-labelledby="213124146_1498165464_label" name="213124146" type="radio" role="radio" class="radio-button-input " value="1498165464" aria-checked="false" data-other-answer="">
<label data-sm-radio-button-label="" id="213124146_1498165464_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213124146_1498165464">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
</label>
</div>
<input id="213124146_other" name="213124146_other" type="text" class="text other-answer-text" size="50" aria-label="Other (please specify)" data-other-text="">
</div>
</div>
</fieldset>
</div>
</div>
<button id="213124146-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 176px; width: 896px;"></div>
<div class="question-row clearfix overlay
" tabindex="-1">
<div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
">
<div id="question-field-213126213" data-qnumber="5" data-qdispnumber="5" data-question-id="213126213" class=" question-single-choice-radio qn question vertical_two_col">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-213126213" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 5<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Which of the following best describes you?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179014" aria-labelledby="213126213_1498179014_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179014" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179014_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179014">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Resident </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179015" aria-labelledby="213126213_1498179015_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179015" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179015_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179015">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Business Owner </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179016" aria-labelledby="213126213_1498179016_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179016" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179016_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179016">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Property Owner </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179017" aria-labelledby="213126213_1498179017_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179017" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179017_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179017">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Business or Property Manager </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179018" aria-labelledby="213126213_1498179018_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179018" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179018_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179018">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Consultant </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179019" aria-labelledby="213126213_1498179019_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179019" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179019_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179019">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Contractor </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-213126213">
<input id="213126213_1498179020" aria-labelledby="213126213_1498179020_label" name="213126213" type="radio" role="radio" class="radio-button-input " value="1498179020" aria-checked="false">
<label data-sm-radio-button-label="" id="213126213_1498179020_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="213126213_1498179020">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> City Staff </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<button id="213126213-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 117px; width: 896px;"></div>
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<div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container
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<div id="question-field-213126697" data-qnumber="6" data-qdispnumber="6" data-question-id="213126697" class=" question-essay qn question essay">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-213126697" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 6<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Please describe your reason for contacting the City of Mesquite:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="textarea-container">
<textarea aria-labelledby="question-title-213126697" id="213126697" name="213126697" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea=""></textarea>
</div>
</div>
</div>
</div>
</div>
<button id="213126697-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button>
</div>
<div class="question-click-shield" tabindex="-1" style="height: 177px; width: 896px;"></div>
<div class="question-row clearfix overlay
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<div data-question-type="matrix_rating" data-rq-question-type="emoji" class="question-container
">
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<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 7<span class="question-dot">.</span>
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<span class="user-generated notranslate
"> Please rate our customer service from 1 to 5, with a score of 5 representing<br>excellent customer service and a score of 1 representing poor customer <br>service.</span>
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<h4 id="question-title-246115375" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 8<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Please offer any additional information describing your experiences with the <br>City of Mesquite or opportunities for improvement.</span>
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<h4 id="question-title-246118600" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 9<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> If you would like for us to follow up with you in regards to your customer service experiences with the City of Mesquite or its employees, please provide us your <br>contact information.</span>
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<option value="PW">PW Palau</option>
<option value="PA">PA Pennsylvania</option>
<option value="PR">PR Puerto Rico</option>
<option value="RI">RI Rhode Island</option>
<option value="SC">SC South Carolina</option>
<option value="SD">SD South Dakota</option>
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</form>Text Content
CITY OF MESQUITE CUSTOMER SATISFACTION SURVEY The City of Mesquite places high emphasis on providing positive customer engagement experiences that exceed the expectations of the public. Please take a moment to complete the City of Mesquite Customer Feedback Survey. Your input will be valuable information as we continue to look for opportunities to improve our customer service. Cliff Keheley City Manager OK QUESTION TITLE * 1. PLEASE PROVIDE YOUR ZIP CODE: 75149 75150 75180 75181 75182 Other (please specify) OK QUESTION TITLE * 2. WHAT DATE DID YOU CONTACT THE CITY OF MESQUITE? Date / Time Date OK QUESTION TITLE * 3. WHICH DEPARTMENT OR DIVISION DID YOU CONTACT? Airport Animal Services Arts Center Building Inspection City Attorney's Office City Manager's Office City Secretary's Office Code Enforcement Communications and Marketing Community Services Economic Development Engineering Equipment Services Facility Management Finance/Budget Fire G.I.S. Health/Food Inspection Housing and Grant Services Human Resources Information Technology Library Municipal Court Neighborhood Services Parks and Recreation Planning and Zoning Police Property Tax Purchasing Solid Waste Streets Traffic Utilities Utility Billing Other (please specify) OK QUESTION TITLE * 4. HOW DID YOU CONTACT THE DEPARTMENT OR DIVISION? Phone Email Website Office Visit Field/Onsite Other (please specify) OK QUESTION TITLE * 5. WHICH OF THE FOLLOWING BEST DESCRIBES YOU? Resident Business Owner Property Owner Business or Property Manager Consultant Contractor City Staff OK QUESTION TITLE * 6. PLEASE DESCRIBE YOUR REASON FOR CONTACTING THE CITY OF MESQUITE: OK QUESTION TITLE * 7. PLEASE RATE OUR CUSTOMER SERVICE FROM 1 TO 5, WITH A SCORE OF 5 REPRESENTING EXCELLENT CUSTOMER SERVICE AND A SCORE OF 1 REPRESENTING POOR CUSTOMER SERVICE. Poor Below Average Average Good Excellent Poor Below Average Average Good Excellent OK QUESTION TITLE * 8. PLEASE OFFER ANY ADDITIONAL INFORMATION DESCRIBING YOUR EXPERIENCES WITH THE CITY OF MESQUITE OR OPPORTUNITIES FOR IMPROVEMENT. OK QUESTION TITLE * 9. IF YOU WOULD LIKE FOR US TO FOLLOW UP WITH YOU IN REGARDS TO YOUR CUSTOMER SERVICE EXPERIENCES WITH THE CITY OF MESQUITE OR ITS EMPLOYEES, PLEASE PROVIDE US YOUR CONTACT INFORMATION. Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK DONE Powered by See how easy it is to create a survey. Privacy & Cookie Notice 0 of 9 answered Javascript is required for this site to function, please enable.