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Website Satisfaction Survey

  1. Disclaimer

    Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at By submitting this form, you acknowledge and accept the terms listed in the privacy policy.

  2. How satisfied were you with your experience on the Jefferson County website today?*
  3. Did you find what you were looking for?*
  4. Were you able to complete the task you came to the website to accomplish?*
  5. For example, if you were not able to find what you were looking for, please let us know.
  6. Do you want a response from county staff?
    If you would like a response to your comment or question, please provide your name and email address below.
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