Fire Operations Customer Satisfaction Survey

2. Goal
   The men and women of the Orange City Fire Department take pride in providing the highest level of service possible to our citizens. The Orange City Fire Department promises to : “Respond quickly; Solve your problem; Be nice."

   The men and women of the Orange City Fire Department take pride in providing the highest level of service possible to our citizens. The Orange City Fire Department promises to : “Respond quickly; Solve your problem; Be nice."

4. Were our personnel polite and courteous?

   1. Very Good
   2. Good
   3. Fair
   4. Poor

6. Did our personnel take care of you in a professional matter?

   1. Very Good
   2. Good
   3. Fair
   4. Poor

8. Did the firefighters respond promptly?

   1. Very Good
   2. Good
   3. Fair
   4. Poor

10. How knowledgeable and competent was our staff?

    1. Very Good
    2. Good
    3. Fair
    4. Poor

12. Did the firefighters take time to explain their actions?

    1. Very Good
    2. Good
    3. Fair
    4. Poor

14. How satisfied were you with the Fire Department's service?

    1. Very Good
    2. Good
    3. Fair
    4. Poor

16. Overall, how would you rate the City's Fire/EMS Department?

    1. Very Good
    2. Good
    3. Fair
    4. Poor

20. Employee(s) Name: If any Fire Department personnel were especially helpful, please let us know who and how they were helpful. We want to show them our appreciation.

22. Additional Comments:

24. Date: I received service from the fire department.
    Date: I received service from the fire department.

26. Address

28. City

29. State

30. Zip Code

32. Please select the appropriate situation:

    1. Emergency Situation
    2. Non-Emergency Situation

34. Full name: If you would like a fire department representative to contact you via email or by phone.

36. First Name

37. Last Name

39. Email address: If you would like a fire deparment representative to contact you via email.

41. Phone Number: If you would like a fire department representative to contact you via phone.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field