Note: Required fields are marked with an asterisk (*)

We generally keep complainants’ names and other identifying personal information confidential but may disclose this information as needed to investigate a complaint or provide other services, or if the information cannot reasonably be considered confidential. Please see our confidentiality policy on our website: https://www.portland.gov/policies/adopted-rules-auditors-office/ombudsman/ara-601-ombudsmans-office-policies-procedures

Providing your contact information is optional. However, we strongly encourage you to provide a minimum of one method of contact so that we can follow up with you and gather more information if needed.

We use demographic data to measure how well the City of Portland is serving the community and to help us improve our service accessibility and outreach. Your answers to the following questions will be kept confidential, they are optional, and they can be opted out of at any time. Time to complete: 2-3 minutes.