Exit Survey  »
100%
 
YOUR OPINION IS VERY IMPORTANT:

Please assist us in meeting your needs by completing this simple customer survey. Providing high quality Service, Protection & Education to our community with Pride & Professionalism is our Mission and prime concern. The best way for us to continually improve our services is by receiving prompt feedback from our customers.

We appreciate you giving your valuable time and opinions about our services!
 
 
(Optional) Contact Information
First Name :
Last Name :
Address 1 :
Address 2 :
City :
    State :       Zip :  
Phone :
Email Address :
 
 
What was the date and approximate time of your emergency?
MonthDayYear
   
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How would you rate us on the following attributes?
ExcellentWell Above AverageAbove AverageAverageBelow AverageWell Below AverageExtremely Poor
Overall Customer Service
Professionalism
Response Time of Personnel
Appearance / Cleanliness of vehicles
Courtesy & Respect of our Personnel
Was information provided and questions answered by an Officer?
How did we do securing/protecting your property after the incident?
Regard for Family & Friends
Appearance of Fire-Rescue Personnel
Was assistance offered for services such as Red Cross?
How would you rate the call takers professionalism?
 
Did an Officer keep you informed and answer your questions to your satisfaction?
 
Strongly Agree
 
Agree
 
Undecided
 
Disagree
 
Strongly Disagree
 
 
How likely are you to share your experience with us with family, friends or coworkers?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
Do you have any suggestions for improving our services?
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
Which category describes your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
What best describes your employment status?
 
Employed full-time
 
Employed part-time
 
Self-employed
 
Not employed, but looking for work
 
Not employed, not looking for work
 
Retired
 
Student
 
Military
 
Homemaker
 
Prefer not to answer
 
Other
    
 
 
Which of the following categories best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
    
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 or more
 
Prefer not to answer
 
OUR MISSION: To Protect, Serve and Educate our Community with Pride & Professionalism!