DFD Quality of Service Questionnaire

If you have recently utilized our Fire, Medical, or Rescue Emergency Services please let us know about your experience. Your comments will help us in evaluating and improving the services we provide.

Question Title

* 1. Please fill in the following text boxes for follow-up

Date of Emergency

Approximate Time of Emergency

Location or Address of Emergency

Type of Emergency Services requested (Fire, EMS, Rescue, other)?

Question Title

* 2. 9-1-1 Dispatcher

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Overall, how satisfied were you with the dispatcher?	Overall, how satisfied were you with the dispatcher? Very Dissatisfied	Overall, how satisfied were you with the dispatcher? Dissatisfied	Overall, how satisfied were you with the dispatcher? Neutral	Overall, how satisfied were you with the dispatcher? Satisfied	Overall, how satisfied were you with the dispatcher? Very Satisfied
Answered the phone in a timely manner	Answered the phone in a timely manner Very Dissatisfied	Answered the phone in a timely manner Dissatisfied	Answered the phone in a timely manner Neutral	Answered the phone in a timely manner Satisfied	Answered the phone in a timely manner Very Satisfied
Had the ability to do what was necessary to help you	Had the ability to do what was necessary to help you Very Dissatisfied	Had the ability to do what was necessary to help you Dissatisfied	Had the ability to do what was necessary to help you Neutral	Had the ability to do what was necessary to help you Satisfied	Had the ability to do what was necessary to help you Very Satisfied
Courtesy and professionalism of the dispatcher	Courtesy and professionalism of the dispatcher Very Dissatisfied	Courtesy and professionalism of the dispatcher Dissatisfied	Courtesy and professionalism of the dispatcher Neutral	Courtesy and professionalism of the dispatcher Satisfied	Courtesy and professionalism of the dispatcher Very Satisfied
Provided helpful information	Provided helpful information Very Dissatisfied	Provided helpful information Dissatisfied	Provided helpful information Neutral	Provided helpful information Satisfied	Provided helpful information Very Satisfied

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* 3. Emergency Crews

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Overall, how satisfied were you with the services provided at the emergency scene?	Overall, how satisfied were you with the services provided at the emergency scene? Very Dissatisfied	Overall, how satisfied were you with the services provided at the emergency scene? Dissatisfied	Overall, how satisfied were you with the services provided at the emergency scene? Neutral	Overall, how satisfied were you with the services provided at the emergency scene? Satisfied	Overall, how satisfied were you with the services provided at the emergency scene? Very Satisfied
Crews arrived in a timely manner	Crews arrived in a timely manner Very Dissatisfied	Crews arrived in a timely manner Dissatisfied	Crews arrived in a timely manner Neutral	Crews arrived in a timely manner Satisfied	Crews arrived in a timely manner Very Satisfied
Appearance of crew	Appearance of crew Very Dissatisfied	Appearance of crew Dissatisfied	Appearance of crew Neutral	Appearance of crew Satisfied	Appearance of crew Very Satisfied
Courtesy and professionalism of crew	Courtesy and professionalism of crew Very Dissatisfied	Courtesy and professionalism of crew Dissatisfied	Courtesy and professionalism of crew Neutral	Courtesy and professionalism of crew Satisfied	Courtesy and professionalism of crew Very Satisfied
Crew kept you informed of their progress or actions being taken	Crew kept you informed of their progress or actions being taken Very Dissatisfied	Crew kept you informed of their progress or actions being taken Dissatisfied	Crew kept you informed of their progress or actions being taken Neutral	Crew kept you informed of their progress or actions being taken Satisfied	Crew kept you informed of their progress or actions being taken Very Satisfied

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* 4. Would you like for us to follow up with you about your experience? If so, please provide your contact information (optional).

Name

Phone

Email

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* 5. Dayton Fire works diligently to provide the best emergency response possible. Is there anything else you would like us to know about your experience with DFD Emergency Services?