Responsiveness	1  2  3 4  5
1. The Fire Department response to my emergency was timely.
2. The Fire Department Personnel listened to me and responded to my concerns.
Professionalism
3. The staff's appearance was professional.
4. The Fire Department Personnel had a concerned, professional attitude.
5. The Fire Department Personnel were courteous, respectful and treated me with dignity.
Competency
6. The personnel who responded insured that all procedures being performed were explained clearly.
7. Overall I was satisfied with the Fire Department Service.

8. Where there any particular problems with the service that you received that you would like called to our attention?


9. How can the Groveville Fire Department improve our service?


10. Other Concerns Or Comments


11. Would you be interested in being contacted in our free residential fire prevention program? (We will schedule a free fire inspection of your home to point out hazards and inspect smoke detectors)YES       NO

12. The Groveville Fire Department may wish to contact you in order to follow up on your concerns. Please include your name and daytime telephone number.

Name:

E-mail:

Daytime Phone: