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CUSTOMER SATISFACTION SURVEY
Email Address:  

First Name:

 

Last Name:

 

Address:

 

Nature of Incident

 
If you could, please rate the following services as Outstanding, Satisfactory, Unsatisfactory, or Unsure:
1 - The response time to your emergency?
 Outstanding Satisfactory Unsatisfactory Unsure
2 - Professionalism/appearance of the firefighters?
 Outstanding Satisfactory Unsatisfactory Unsure
3 - Their knowledge/competency in dealing with your emergency?
 Outstanding Satisfactory Unsatisfactory Unsure
4 - Did the firefighters answer your questions and keep you informed?
 Outstanding Satisfactory Unsatisfactory Unsure
5 - Overall service received from the Peoria Fire Department?
 Outstanding Satisfactory Unsatisfactory Unsure
6 - Peoria Fire contracts with private ambulance companies to transport patients to the hospital. How was your experience with the ambulance company during your transport (if applicable)?
 Outstanding Satisfactory Unsatisfactory Unsure
Comments made on any of the above questions and/or general comments.
Did we provide referrals or pastoral counseling after the incident to meet your needs, if applicable?              Yes No Not Applicable

 
 

 
City of Peoria Fire Department
8351 W. Cinnabar Peoria, AZ 85345
Phone: 623.773.7279
Fax: 623.773.7620
Email: FireDept@peoriaaz.gov
 

This Page was last updated on 04/02/07
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