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Program Feedback Form

  1. The purpose of this form is to provide you, our program participants, the opportunity to share your experience with the Cosumnes Community Services District. This will help us make your future experiences even better.
  2. Please indicate the program for which you would like to provide feedback.
  3. 1. Staff provided service in a professional manner.
  4. 2. This program was what I expected.
  5. 3. I would recommend this program to my friends and family members.
  6. 4. I would participate in this program again.
  7. 5. I would rate the overall experience with this program as:
  8. Optional: Contact Information
    Please provide contact information if you wish a follow-up call or email.
  9. Thank you!
    Thank you for your input on enhancing the quality of our programs and customer service.
  10. Leave This Blank:

  11. This field is not part of the form submission.