CENCOM 911 Customer Satisfaction Survey Question Title * 1. Please provide the date and approximate time that you called CENCOM 911. Date and Time Date Time AM/PM - AM PM Question Title * 2. Enter the phone number used to report your incident to 911. Question Title * 3. Did you call or text 911? Call Text Question Title * 4. How would you rate your overall experience when interacting with CENCOM 9-1-1? Excellent Good Average Needs Improvement N/A Additional Comments Question Title * 5. How would you rate the courtesy, attitude and professionalism of the 911 call taker who handled your call? Excellent Good Average Needs Improvement N/A Additional Comments Question Title * 6. Were you satisfied with the level of service you received from CENCOM 911? Yes No Somewhat Additional Comments Question Title * 7. Please list any additional comments you may have reference your interaction with CENCOM 911. Question Title * 8. Please provide any recommendations you have that may assist CENCOM 911 to better serve our community. Question Title * 9. Please provide your contact information in the spaces below. Name: Address: Phone Number: Email: Question Title * 10. Would you like to be contacted from someone at CENCOM 911? Yes No If needed If you have a topic other than your interaction with CENCOM 911 that you would like to discuss, please describe below so that we can provide the best resource to you. Done