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2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. How Easy Is The Site To Navigate
    -- Select One --Very SimpleSimpleDifficultVery Difficult
14. How Did You Hear About Us
    -- Select One --Online Search EngineDirect URLSocial MediaOther
15. Were You Able To Find What You Were Looking For
    -- Select One --YesNo
17. What would you say you like best about the site?
18. What would you say needs improvement?
20. Any Additional Comments?
22. Demographic Info (Optional)
24. Age
    -- Select One --Under 3030-4546-60Over 60
25. Education Level
    -- Select One --Some High SchoolHigh School GraduateBachelor's DegreeMaster's DegreeDoctorate or HigherPrefer Not To Say
26. Relationship To Bloomfield
    -- Select One --Current ResidentFormer ResidentCurrent Business OwnerWork in BloomfieldOther
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28. 1. Receive an email copy of this form.
29. Email address

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