Perry County Department Survey

Perry County has contracted a redesign and redevelopment of the County website. We would like to gather information from you to support your needs and preferences for the information page that will be posted for your department, agency or office.

Please complete the following survey by August 9, 2024. If you need to step away but want to save your responses and return to the survey, simply choose the ‘Save and Continue Later’ button and you’ll receive an email with unique link to pick up where you left off. If you have any difficulties using the form, please send an email to the Madison + Fifth web team and we’ll promptly assist!

Your input is vital – thank you for taking the time to provide your information!

Your Name(Required)

This is for internal use only - your name will not be shown publicly.

First Last

Your Telephone Number(Required)

This is for internal communications about your page and will not be shown on the website. If it is the same as the business phone number - please enter again.

Your Email Address(Required)

This is for internal communications about your page and will not be shown on the website. If it is the same as the business email address - please enter it again.

Department, Agency or Office Name(Required)

Description of your Services(Required)

Please provide a description of services your department, agency or office provides. This will be posted publicly on your page to assist visitors with finding the correct resource for their needs. You can be as detailed as you'd like!

Please provide your current hours of operation and any details about your hours that would assist visitors:

Point of Contact Name for the Public

This name will be shown on your page, allowing people to contact this person. If you do not have or wish to provide a contact, simply leave blank.

First Last

Street Address(Required)

City / State / Zip Code(Required)

Mailing Address (if different)

Public Business Telephone(Required)

This will be displayed publicly on the website.

Public Business Email

If you have an email address you allow the public to use to contact the business, please enter it here.

Website Address

If you have a website where you would like us to direct visitors, enter its address here:

Enhanced Page Option

If you do NOT have a website and would like to use your Perry County Website information page to convey a greater amount of information about your services and processes, we can follow-up with you to collect information for your page.

Yes! Contact me regarding this option.

No. We do not need more than basic contact information, description and Frequently Asked Questions.

Social Media Accounts

If you host social media or other pages where the public can engage with you, please enter their addresses here:

Frequently Asked Questions(Required)

Please provide a minimum of three (3) Frequently Asked Questions with answers that your team receives from the public. This is intended to reduce unnecessary phone calls to your office. In your answers, you can include links to specific pages where resources can be found and we can link to PDFs you want to provide.

Forms & Documents

Do you have forms or documents you would like to provide the public (applications, bid details, requests for information) you would like made available for download or completion online? We can link to these if they are already available online or we can host them for download / completion at the new County website.

Yes! Contact me regarding this option.

No. We do not have forms or documents to make publicly available.

Events

Are there any seasonal or annual events you would like to post to the website as we relaunch it?

Yes! Contact me regarding this option.

No. We do not generally sponsor events.

Upload your logo here:

Drop files here or

Max. file size: 100 MB, Max. files: 5.

Upload at least one LARGE photo you feel represents your department, agency or office. Feel free to provide more than one photo.

Photos can be 72 dpi or higher resolution and should be at least 2000 pixels wide. Horizontal photos are preferred.

Drop files here or

Max. file size: 100 MB, Max. files: 10.

Any questions or requests?

Please let us know if you have any questions or requests for your information page that were not covered here. Thank you!

This field is for validation purposes and should be left unchanged.