1

Please describe the type of incident where the Fire & Rescue Department provided services.

Please describe the type of incident where the Fire & Rescue Department provided services.

2

How would you rate the Fire & Rescue Departments response time to your incident?

How would you rate the Fire & Rescue Departments response time to your incident?

Outstanding

Met my expectations

Failed to meet my expectations

3

How would you rate the professional conduct of the firefighters that responded to your incident?

How would you rate the professional conduct of the firefighters that responded to your incident?

Outstanding

Met my expectations

Failed to meet my expectations

4

How would you rate the firefighter’s willingness to help you deal with any needs or concerns you had regarding your incident?

How would you rate the firefighter’s willingness to help you deal with any needs or concerns you had regarding your incident?

Outstanding

Met my expectations

Failed to meet my expectations

5

Overall, how would you rate the manner in which the Fire & Rescue Department handled your incident?

Overall, how would you rate the manner in which the Fire & Rescue Department handled your incident?

Outstanding

Met my expectations

Failed to meet my expectations

6

Please tell us about your experience and how the Fire & Rescue Department might improve its handling of incidents such as yours.

Please tell us about your experience and how the Fire & Rescue Department might improve its handling of incidents such as yours.

7

Your Name (Optional)

Your Name (Optional)

8

Your Contact Phone Number (Optional)

Your Contact Phone Number (Optional) ext.

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2. Email Address

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