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Bathroom Maintenance Survey
Bathroom Maintenance Survey
Please fill out the form below and a CRUHSD Maintenance Representative will review your survey shortly to determine the best course of action for any repairs, thank you!
This form requires Javascript to be enabled for submission and authorization.
*
Required
Date
*
required
Must contain a date in M/D/YYYY format
Is there an issue with one of the schools' bathrooms?
*
required
Yes
No
If yes, what is the issue with the bathroom?
Which campus is the bathroom located at?
*
required
Mohave
River Valley
CRUHSD Academy
FieldHouse
Which bathroom at the campus you selected has the issue you are referring to?
*
required
Please rate the current conditions of your campus' bathrooms.
*
required
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
Submit
