Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Cocoa Crawl Event Feedback Form

  1. Thank you for participating in the 3nd Annual Cocoa Crawl on November 24, 2018. It was our goal to have a fun holiday event that promotes Roselle's local small businesses on "Small Business Saturday". Your feedback is important because it will help us to improve this event in the future. We appreciate the time you are taking to offer your opinion.

  2. Please rate your satisfaction wih the following aspects of the Cocoa Crawl event.

    Please rate from 1 to 4 with 1 being poor and 4 being excellent.

  3. Day of week - Saturday after Thanksgiving

  4. Hours - 2:00 to 5:00 p.m.

  5. Location - Roselle Main Street

  6. Treats and specials at the participating business stops

  7. Quality of the entertainment in the Civic Plaza

  8. Providing your email address is not required.

  9. Leave This Blank:

  10. This field is not part of the form submission.