Site Evaluation Form

If you need assistance completing this form, please contact Tracy Barton at 503-624-4959 or email.

If you have previously submitted a survey, enter your last name and the password you chose, and you will be able to continue the survey where you left off.

After you submit the survey you will be given an opportunity to download a copy for your records.

If you need to make changes after submitting, you may email us a modified PDF or request a Word document version to edit.

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If you have not yet registered, please do so below.

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Contact Information
	Last Name:	First Name:
	Name of Company or Organization:
	Address:
	City:	State/Prov:
		Select ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NORTHWEST TERRITORIES NOVA SCOTIA OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON TERRITORY OTHER
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		Select AUSTRALIA CANADA BRAZIL EUROPEAN UNION FRANCE GERMANY MEXICO UNITED KINGDOM UNITED STATES OF AMERICA UNKNOWN
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