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Website Feedback Form

2. Porter County Website Feedback Form
   We welcome your feedback on our new website! Please tell us about your experience with the site, whether you could find what you were looking for or any problems you've encountered. We will make future updates based on your feedback.

   We welcome your feedback on our new website! Please tell us about your experience with the site, whether you could find what you were looking for or any problems you've encountered. We will make future updates based on your feedback.

4. Please note that ALL fields must be completed or you will not be able to submit this form.

6. First Name*

7. Last Name*

9. Daytime Phone Number*

10. Email Address*

12. Please tell us your primary reason for visiting our website.*

14. Please tell us which device did you use to access our website?*

    1. Phone

    1. Tablet

    1. Desktop

    1. Other

16. Please tell us about your experience.*

    Please be specific. Were you able easily find what you were looking for? Was your experience positive? If not, what could we do to improve your experience?

18. Would you like us to contact you via email about your feedback?*

    1. Yes

    1. No

20. After you have completed all fields on this form, please click on Submit or Submit & Print (if you want to keep a printed copy). After you click on Submit or Submit & Print, you will be redirected to a submission confirmation page. If you are unable to submit, it is likely that you failed to complete a field on this form.

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

* indicates a required field