Bowling Green Fire Division Customer Satisfaction Survey

2. First Name
3. Last Name
5. Email*
6. What date was this emergency?*
   What date was this emergency?
8. What type of emergency was this event?*
   -- Select One --EMSFireOther
9. Were you the person who requested the Fire Division to respond to this Emergency?*
   -- Select One --YesNo
11. 1. Prior to this emergency, how many times have you experienced a response by the Bowling Green Fire Division?
    -- Select One --NeverOnceTwo-Five TimesSix- Ten TimesMore than Ten times
12. How quickly did the first Fire Division Responders arrive at this emergency?
    -- Select One --Very FastFastNeutralSlowVery Slow
14. How professional were Fire Division members in their handling of this emergency?
    -- Select One --Very ProfessionalProfessionalNeutralUnprofessionalVery Unprofessional
15. How satisfied are you with the Fire Division's resolution of this emergency?
    -- Select One --Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied
17. Bowling Green Fire Division members are cautious and drive with due regard for safety when responding to emergencies.
    -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
19. Any additional comments or thoughts about your emergency which will help us improve our service?
21. Would you like to be contacted regarding your experience?
    -- Select One --YesNo
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23. 1. Receive an email copy of this form.
24. Email address

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25. Submit

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