1. Default Section

* 1. What type of services did we provide?

* 2. Which office/division served you (check all that apply)?

* 3. How would you rate your overall experience with the Department of Fire & Life Safety?

* 4. Did we display an attitude of professional respect and caring?

* 5. Did we present the best possible professional appearance in self, equipment and/or stations?

* 6. Did we perform our jobs quickly and efficiently?

* 7. Did we take special care of you and your property?

* 8. Did we take personal responsibility to answer your questions and resolve your problems?

* 9. Did we help you without being asked/anticipated your needs?

* 10. How well did we provide you with quality service regarding Firefighting?

* 11. How well did we provide you with quality service in Medical Emergency Services/Medical Transportation?

* 12. How well did we provide you with quality service in Rescue Services (i.e. extrication from vehicle accident, water rescue, etc.)?

* 13. How well did we provide you with quality service in Hazardous Materials Response?

* 14. How well did we provide you with quality service in Fire Prevention, Fire Code Enforcement/Fire Inspection(s)?

* 15. How well did we provide you with quality service regarding Fire Investigations?

* 16. How well did we provide you with quality service in Public Fire Education/Special Event Standby/Fire and Rescue display or visit?

* 17. How well did we provide you with quality service in Emergency Services/Disaster Preparedness or Response?

* 18. How well did we provide you with quality service in Animal Control?

* 19. Please use the space below for comments. Your feedback and input is greatly appreciated. Note: If we provided you with Emergency Medical Treatment/ Transportation – Please DO NOT COMPLETE THIS SECTION OR THE CONTACT INFORMATION of this survey. In order to protect your privacy, and the security of the patient’s protected health information, we ask that you contact the York County Department of Fire and Life Safety at 757-890-3600 or visit www.yorkcounty.gov/fire for email contact information for the Patient Advocate. The Patient Advocate will be pleased to accept your specific compliments, comments or suggestions.

* 20. Your contact information (optional). PLEASE NOTE: If we provided you with Emergency Medical Treatment and/or Transportation and you do not wish for that information to be made public, please DO NOT include contact information. Thank you.

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