Date of Response/Event Response/Event Address Name E-mail Address: * Telephone 911 Center - Propmptness Excellent Good Fair Poor N/A 911 Center - Courtesy Excellent Good Fair Poor N/A 911 Center - Satisfaction Excellent Good Fair Poor N/A Non -Emergency Communication - Promptness Excellent Good Fair Poor N/A Non -Emergency Communication - Courtesy Excellent Good Fair Poor N/A Non -Emergency Communication - Satisfaction Excellent Good Fair Poor N/A Fire Department Personnel - Appearance Excellent Good Fair Poor N/A Fire Department Personnel - Skil Level Excellent Good Fair Poor N/A Fire Department Personnel - Courtesy Excellent Good Fair Poor N/A Fire Department Personnel - Informative Excellent Good Fair Poor N/A Fire Department Personnel - Responsive to your needs Excellent Good Fair Poor N/A Fire Department Personnel - Variety of Services Offered Excellent Good Fair Poor N/A Vehicles Equipment - Response Time Excellent Good Fair Poor N/A Vehicles Equipment - Appearance Excellent Good Fair Poor N/A Fire Prevention - Prompt Service Excellent Good Fair Poor N/A Fire Prevention - Appearance of Personnel Excellent Good Fair Poor N/A Fire Prevention - Courtesy Excellent Good Fair Poor N/A Fire Prevention - Responsive to Your Needs Excellent Good Fair Poor N/A Fire Prevention - Follow Through Excellent Good Fair Poor N/A Fire Prevention - Availability Excellent Good Fair Poor N/A Fire Prevention - Skill Level Excellent Good Fair Poor N/A Audio Visual Presentation - Quality of Materials Excellent Good Fair Poor N/A Audio Visual Presentation - Content of Presentation Excellent Good Fair Poor N/A Additional Services Requested Facilities - Parking Lots/Grounds Excellent Good Fair Poor N/A Facilities - Exterior Appearance Excellent Good Fair Poor N/A Facilities - Interior Appearance Excellent Good Fair Poor N/A Facilities - Accessibility Excellent Good Fair Poor N/A Meeting/Training Facilities - Set Up As Requested Excellent Good Fair Poor N/A Meeting/Training Facilities - Cleanliness Excellent Good Fair Poor N/A Meeting/Training Facilities - Audio Visual Equipment Excellent Good Fair Poor N/A Meeting/Training Facilities - Size Excellent Good Fair Poor N/A Would you recommend our services and facilities to others? Would you consider our facilities for your next function? Please list any additional services we should offer: Is there any employee(s) whom you would like to recognize? Please list below and describe Please list any additional comments in this section. Verification Code: Enter Verification Code: * * Required