Customer Satisfaction Survey

Let us know how we're doing...

By completing this four question survey, you can help us achieve our goal of providing excellent service to the community.

Question Title

* Please rate your experience with SFMD...

	Exceeded My Expectations	Met My Expectations	Did Not Meet My Expectations	N/A
Were our employees NICE?	Were our employees NICE? Exceeded My Expectations	Were our employees NICE? Met My Expectations	Were our employees NICE? Did Not Meet My Expectations	Were our employees NICE? N/A
Were our employees PROFESSIONAL?	Were our employees PROFESSIONAL? Exceeded My Expectations	Were our employees PROFESSIONAL? Met My Expectations	Were our employees PROFESSIONAL? Did Not Meet My Expectations	Were our employees PROFESSIONAL? N/A
Were our employees EFFECTIVE?	Were our employees EFFECTIVE? Exceeded My Expectations	Were our employees EFFECTIVE? Met My Expectations	Were our employees EFFECTIVE? Did Not Meet My Expectations	Were our employees EFFECTIVE? N/A
How was the QUALITY OF SERVICE?	How was the QUALITY OF SERVICE? Exceeded My Expectations	How was the QUALITY OF SERVICE? Met My Expectations	How was the QUALITY OF SERVICE? Did Not Meet My Expectations	How was the QUALITY OF SERVICE? N/A

Question Title

* If you would like to share your experience or additional comments, please provide them below.

Question Title

* Would you like someone from the Superstition Fire & Medical District to contact you?

Yes

No

Question Title

* If you would like to be contacted, please provide your contact information.

Name

Email Address

Phone Number