South Interlake Planning District

<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="The South Interlake Planning District (SIPD) is committed to enhancing customer service delivery.  Please take a few moments to complete the survey below." class="paragraph"></field>
		<field type="radio-group" label="I am a:" class="radio-group" name="radio-group-1513277797343">
			<option value="Property Owner" selected="true">Property Owner</option>
			<option value="Contractor">Contractor</option>
			<option value="Professional">Professional</option>
		</field>
		<field type="radio-group" label="How did you contact the South Interlake Planning District?" class="radio-group" name="radio-group-1513277981076">
			<option value="In person" selected="true">In person</option>
			<option value="By Phone">By Phone</option>
			<option value="By Mail">By Mail</option>
			<option value="Website">Website</option>
			<option value="Email">Email</option>
		</field>
		<field type="radio-group" label="What was the reason you contacted the South Interlake Planning District?" class="radio-group" name="radio-group-1513278005901">
			<option value="Permits" selected="true">Permits</option>
			<option value="Planning">Planning</option>
			<option value="Other">Other</option>
		</field>
		<field type="radio-group" label="The South Interlake Planning District staff was professional and courteous" class="radio-group" name="radio-group-1513277998908">
			<option value="Strongly Disagree" selected="true">Strongly Disagree</option>
			<option value="Disgree">Disgree</option>
			<option value="Neutral">Neutral</option>
			<option value="Agree">Agree</option>
			<option value="Strongly Agree">Strongly Agree</option>
		</field>
		<field type="radio-group" label="I received clear, concise information" class="radio-group" name="radio-group-1513278000703">
			<option value="Strongly Disagree" selected="true">Strongly Disagree</option>
			<option value="Disagree">Disagree</option>
			<option value="Neutral">Neutral</option>
			<option value="Agree">Agree</option>
			<option value="Strongly Agree">Strongly Agree</option>
		</field>
		<field type="radio-group" label="My application/request was dealt with in a timely manner" class="radio-group" name="radio-group-1513277996934">
			<option value="Strongly Disagree" selected="true">Strongly Disagree</option>
			<option value=" Disagree"> Disagree</option>
			<option value="Neutral">Neutral</option>
			<option value="Agree">Agree</option>
			<option value="Strongly Agree">Strongly Agree</option>
		</field>
		<field type="radio-group" label="My overall experience with the South Interlake Planning District was positive" class="radio-group" name="radio-group-1513277991246">
			<option value="Strongly Disagree" selected="true">Strongly Disagree</option>
			<option value="Disagree">Disagree</option>
			<option value="Neutral">Neutral</option>
			<option value="Agree">Agree</option>
			<option value="Strongly Agree">Strongly Agree</option>
		</field>
		<field type="radio-group" label="If we were unable to help you, were you directed to the appropriate department?" class="radio-group" name="radio-group-1513277989027">
			<option value="Strongly Disagree" selected="true">Strongly Disagree</option>
			<option value="Disagree">Disagree</option>
			<option value="Neutral">Neutral</option>
			<option value="Agree">Agree</option>
			<option value="Strongly Agree">Strongly Agree</option>
		</field>
		<field type="textarea" label="Do you have any general comments about your experience with the South Interlake Planning District or recommendations on how we can improve service?" class="form-control text-area" name="textarea-1513278666740"></field>
		<field type="textarea" label="Would you like to reference a File No., or provide contact information?" class="form-control text-area" name="textarea-1513278711477"></field>
		<field type="text" subtype="text" required="true" label="First Name" placeholder="Please enter your first name" class="form-control text-input" name="text-1513781279938"></field>
		<field type="text" subtype="text" required="true" label="Last Name" placeholder="Please enter your last name" class="form-control text-input" name="text-1513781320659"></field>
		<field type="text" subtype="email" required="true" label="Email Address" placeholder="Please enter your email address" class="form-control text-input" name="text-1513781343089"></field>
	</fields>
</form-template>

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