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* 1. What type of service did you receive? (check all that apply)

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* 2. Were the services Surprise Fire-Medical provided prompt and professional?

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* 3. Did the service we provided take care of your needs?

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* 4. Please rate the department member’s competence, courtesy and concern for your needs?

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* 5. How would you rate our overall performance?

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* 6. What additional services would you like to see your Fire-Medical department provide?

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* 7. Please identify any positive aspects from your interaction with the Surprise Fire-Medical Department (exceptional services or individuals) and/or ways we can improve our service.

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