Form Center

2. Customer Satisfaction Survey
   Please answer the following questions regarding our response to your emergency.
4. Date of Service*
   Date of Service
5. Personnel
   -- Select One --FireEMSFire PreventionAdministrationother
7. First Name
8. Last Name*
10. Did the fire department arrive in a timely manner?*

    1. Exceeded expectations
    2. Met expectations
    3. Did not meet expectations
12. Did you like the services provided?*

    1. Exceeded expectations
    2. Met expectations
    3. Did not meet expecations
14. Were the responders nice and receptive?*

    1. Exceeded expectations
    2. Met expectations
    3. Did not meet expectations
16. How would you rate the responders’ appearance?*

    1. Exceeded expectations
    2. Met expectations
    3. Did not meet expectations
18. Suggestions for improving our delivery of service or questions regarding our procedures:
20. I would like a representative of Sachse Fire-Rescue to contact me at:
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field