Customer Service Survey Customer Service Survey 1. Which type of service have you received recently from the Fry Fire District? Medical assistance Fire response Fire safety inspection General assistance request (burn permit, car seat installation, blood pressure, etc.) Public education request Special operations response OtherOther 2. Date of service recieved Address or location Name (optional) Phone number or email address we can contact you at in case we would like to follow up with you (optional) 3. Was the service recieved in a timely manner? Excellent Good Average Poor 4. Please rate the overall professionalism of our personnel in relation to the service we provided. Excellent Good Average Poor 5. Did fire district personnel follow up with you after the emergency was mitigated in order to assist you with information on recovering from the event, provide referrals to other public service organizations and/or to answer any questions you may have had. Yes No N/A 6. Please rate the overall quality of the service we provided. Excellent Good Average Poor 7. Is there any other additional comments you would like to share with us? If you are human, leave this field blank.