JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parking Pay Station Feedback
We would love to hear your thoughts about the new Parking Pay Stations!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
When did you use the Pay Station?
MM
/
DD
/
YYYY
Estimated Time?
Time
:
AM
PM
Which parking lot did you use?
Lot 1: 4th & Dunn
Lot 3: 4th & Washington
Clear selection
Ease of Use?
Dislike It
1
2
3
4
5
Love It
Clear selection
Would you use this service again?
Yes
No
Clear selection
If you answered no on the last question, why?
Your answer
What was your overall parking experience with the new Pay Station?
Unsatisfied
1
2
3
4
5
Satisfied
Clear selection
Any other feedback about the Pay Stations?
*
Your answer
Name (Optional)
Your answer
Email (Optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Bloomington, Indiana.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report