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.
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

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