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2. What department did you visit?
   -- Select One --Public WorksRecreationLibraryGolfAdministrationCodes & CompliancePlanning & ZoningPoliceFire & RescueFinanceHuman Resources
4. Date and time of your visit?
6. Name/description of the person(s) who helped you?
8. Do you live in Manheim Township?

   1. Yes
   2. No, another Lancaster County Municipality
   3. No, another PA County
   4. No, out of state
10. How often do you use this service?

    1. Daily
    2. Weekly
    3. Monthly
    4. Infrequently
    5. First time
12. Do you use any other Manheim Township services?

    1. Yes, frequently
    2. Yes, sometimes
    3. No
14. How would you rate your experience?

    1. Excellent
    2. Good
    3. Average
    4. Poor
    5. Bad
16. How likely are you to recommend Manheim Township services to your friends and family?

    1. Very likely
    2. Somewhat likely
    3. Not likely
18. Do you prefer to use Township services in person or online?

    1. In person
    2. Online
20. Did we manage to resolve your issue or need?

    1. Yes
    2. No
22. How could we improve your experience?
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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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