Form Center

2. For assistance or questions about City services, contact Durham One Call.
4. The City values your feedback to help improve the durhamnc.gov website. Complete the form below to share your experience.
6. Please note that Chrome, Firefox, and Edge are recommended for the best experience; some content areas may not display correctly in Internet Explorer. Learn more about our ongoing effort to update this website and our website accessibility (ADA) guidelines.
8. First name
9. Last name
11. Would you like a response?

    1. Yes - please include email to get a response.
12. Response email
16. Tell us more about your recent experience on the website:
18. Feedback category*

    1. Report a technical issue with the website
    2. Share a content edit or suggestion
    3. Report an ADA or accessibility issue you experienced on the website
    4. Other feedback
20. Web browser*
    -- Select One --ChromeEdgeInternet ExplorerFirefoxSafariOther
21. Viewing device*
    -- Select One --Smart PhoneTabletLaptopDesktop
23. Were you able to complete your intended task on the website?*
    -- Select One --YesNo
25. Describe your issue, comment, or suggestion (max 1000 characters):*
27. Please provide the web address of the specific page(s) or document(s) you were viewing:
29. What impairments do you experience, if any? Please select all that apply.

    1. Auditory
    2. Cognitive
    3. Motor
    4. Speech
    5. Vision
31. How frequently do you use assistive technology with the City's website(s)?

    1. Never
    2. Rarely
    3. Occasionally
    4. Almost always
    5. Always
33. Which assistive technologies did you use to view the City's website? Please provide details below.
35. How well are you able to access information and complete tasks on the City's website?

    1. Not at all
    2. Rarely
    3. Sometimes
    4. Most of the time
    5. Always
37. Please share any other feedback regarding the accessibility of this website.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field