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* 1. Did we meet your expectations?

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* 2. Were you treated in a respectful and professional manner?

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* 3. Were we able to make you comfortable?

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* 4. How would you rate your overall satisfaction with the Goodyear Fire Department?

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* 5. Overall, how responsive have we been to your questions or concerns about our services?

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* 6. What was the date of your interaction with the Goodyear Fire Department?

Date / Time

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* 7. Please provide a short summary of your experience.

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* 8. Would you like someone to contact you regarding your experience?

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* 9. Please provide a way for us to contact you.

T