Customer Satisfaction Survey

2. Name

3. Email Address*

5. Address

7. Nature of Accident

11. Please rate the following services as Outstanding, Satisfactory, Unsatisfactory or Unsure.

13. 1. The response time to your emergency?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

15. 2. Professionalism/appearance of the firefighters?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

17. 3. Their knowledge/competency in dealing with your emergency?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

19. 4. Did the firefighters answer your questions and keep you informed?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

21. 5. Overall service received from Andover Fire Rescue?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

23. 6. Andover Fire Rescue provides Emergency Medical Services to the community.
    How was your experience with the ambulance personnel during transport (if applicable)?*

    1. Outstanding

    1. Satisfactory

    1. Unsatisfactory

    1. Unsure

25. Please provide comments made on any of the above questions and/or general comments.

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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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