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Park and Facility Feedback Form

2. The purpose of this form is to provide you, our park and facility users, the opportunity to share your experience with Cosumnes Community Services District. This will help us make your future experiences even better.

   The purpose of this form is to provide you, our park and facility users, the opportunity to share your experience with Cosumnes Community Services District. This will help us make your future experiences even better.

4. If you have a Park Maintenance Issue, contact our Hotline at 916-405-5688 or click the link below.
   Park Maintenance Issue

6. 1. Please indicate the CSD park or facility for which you would like to provide feedback.

   1. Elk Grove Park Pavilion
   2. Emerald Lakes Golf Course
   3. Elk Grove Park Pool (Jerry Fox Swim Center)
   4. Laguna Town Hall
   5. Park (write-in)
   6. Wackford Aquatic Complex (pool)
   7. Wackford Community Complex (gymnasium, reception hall and meeting rooms)

8. Park:

10. 2. For what purpose did you use the park or facility?

    1. Business
    2. Fitness / Sport
    3. Recreation Program
    4. Social Gathering
    5. Special Event
    6. Other (write in)

12. Other

14. 3. For this purpose, did the park or facility provide desirable or useful amenities?

    1. Yes
    2. Somewhat*
    3. No*
    4. Not Applicable

16. * If checked, please explain why

18. 4. Overall, how safe did you feel at this park or facility?

    1. Very safe
    2. Safe
    3. Somewhat Safe*
    4. Not Safe*

20. * If checked, please explain why

22. 5. Overall, what was the condition of the park or facility?

    1. Excellent
    2. Good
    3. Poor*
    4. Damaged / Unacceptable*
    5. Not Applicable

24. * If checked, please explain why

26. Optional: Additional Comments

28. Optional: Contact Information
    Please provide contact information if you wish a follow-up call or email.

    Please provide contact information if you wish a follow-up call or email.

30. Name

32. Email Address

34. Phone Number

36. Thank you!
    Thank you for your input on enhancing the quality of our parks and facilities.

    Thank you for your input on enhancing the quality of our parks and facilities.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field