Fire Department Service Survey

2. Fire Department - Quality of Service Survey
   Please help us better serve you and the community by completing this brief survey. The Fire Department Administrative Office may be reached at 847-459-2662 (M-F, 08:00 am to 04:30 pm). Thank you for your assistance.

   Please help us better serve you and the community by completing this brief survey. The Fire Department Administrative Office may be reached at 847-459-2662 (M-F, 08:00 am to 04:30 pm). Thank you for your assistance.

4. Please enter the Date and Time of Service
   Please enter the Date and Time of Service

   Please enter the Date and Time of Service

6. 1. Telephone call promptly answered?

   1. Yes
   2. No
   3. Not applicable

8. 2. Dispatcher was efficient and courteous?

   1. Yes
   2. No
   3. Not applicable

10. 3. Response time of Fire Department was prompt?

    1. Yes
    2. No
    3. Not applicable

12. 4. Actions take by Fire Department were satisfactory?

    1. Yes
    2. No
    3. Not Applicable

14. 5. Firefighter/Paramedics were efficient

    1. Yes
    2. No
    3. Not applicable

16. 6. Firefighter/Paramedics were courteous?

    1. Yes
    2. No
    3. Not applicable

18. 7. Firefighter/Paramedics were compassionate?

    1. Yes
    2. No
    3. Not applicable

20. 8. Fire Department actions were explained to you?

    1. Yes
    2. No
    3. Not applicable

22. 9. All questions were answered completely?

    1. Yes
    2. No
    3. Not applicable

24. 10. Overall level of service satifactory?

    1. Yes
    2. No
    3. Not applicable

26. Optional Information

28. Email Address

30. Name

31. Address

33. City

34. State

35. Zip Code

37. Phone Number

38. Fax Number

40. Questions?

42. Comments:

44. Concerns

Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field