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2. Planning Services Customer Service Survey
4. The Planning Services Department strives to provide outstanding service to our customers and the citizens of Dubuque.Your comments and suggestions help us continue striving for excellence.
6. Are you a:*

   1. resident

   1. business owner

   1. development professional

   1. other
8. If other, please explain
10. How would you rate the friendliness of the person(s) who assisted you?

    1. friendly

    1. indifferent

    1. unfriendly
12. What service(s) did you apply for?*

    1. variance
    2. limited setback waiver
    3. text amendment

    1. subdivision plat
    2. rezoning
    3. conditional use permit

    1. special exception
    2. planned district
    3. temporary use

    1. site plan
    2. other
14. If other, please explain
16. What best describes the timeliness or response time with which your business was handled?

    1. prompt and efficient

    1. satisfactory

    1. unsatisfactory
18. Were you adequately informed of the necessary steps for your application to be reviewed by staff, board and/or commission?

    1. yes

    1. no

    1. somewhat
20. How do our services compare with other cities you’ve worked with?

    1. better

    1. comparable

    1. poor

    1. not applicable
22. Comments:
24. Staff Person(s) worked with:

    1. Jason Duba
    2. Deb Searles

    1. Chris Happ Olson
    2. Charlie Miller

    1. Shena Moon
    2. Matt O'Brien

    1. Travis Schrobilgen
    2. Wally Wernimont
28. Optional: Feedback for You
30. If you would like someone from the Planning Services Department to contact you, please indicate your name, a telephone number, and the time when you would like to be called.
32. First Name
33. Last Name
35. Preferred form of contact:

    1. Email

    1. Telephone
37. Email
39. Telephone Number
40. Best day (s) to call:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
41. Best time to call:

    1. Morning
    2. Early Afternoon (11AM-1PM)
    3. Later Afternoon (1PM-5PM)
    4. Evening (5PM-8PM)
45. Optional: Demographic Information
47. Completing the following information is optional. It is considered confidential and will not be associated with the customer service survey. This information is used to assist staff in fulfilling City Council goals related to equity and diversity.
49. Gender

    Choose all that apply:

    1. Man
    2. Woman
    3. Trans or transgender
    4. Another identity
50. Age Category

    1. 18-21
    2. 22-30
    3. 31-40
    4. 41-50
    5. 51-60
    6. 61 and over
51. Race and/or Ethnicity

    Choose all that apply:

    1. American Indian/Alaska Native
    2. Asian
    3. Black/African-American
    4. Hispanic/Latino
    5. Native Hawaiian/Pacific Islander
    6. White
    7. Multi-Racial
53. Person with a Disability

    1. Yes
    2. No
54. Formal Education Completed

    1. Did not complete high school
    2. High school graduate
    3. College degree
    4. M.A. degree or equivalent graduate degree
    5. M.D., Ph.D. or equivalent graduate degree
55. Language(s) you speak in addition to English
57. How long have you lived in Dubuque?
58. How long has your family lived in the United States?

    1. First generation American
    2. Second generation American
    3. Third generation American
    4. Longer than three generations
59. Household Income

    1. Less than $10,000
    2. $10,000 to $49,999
    3. $50,000 to $149,999
    4. $150,000 or more
63. Thank you for taking the time to complete this survey so that we may better assist you in the future.
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67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

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