* 1. Please provide you home zip code

* 2. What date did you have contact with the Greenville City Fire Department?

Date / Time

* 3. Did you receive / request Emergency or Non-emergency service from the Department?

* 4. Please indicate the general reason for your contact with the Fire Department:

* 6. Please rate your experience with the Greenville City Fire Department

  Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree
Communicated information clearly
Listened to your concerns
Responded in a timely manner

* 7. How would you rate the appearance of the staff?

* 8. Please rate your overall experience with the Greenville City Fire Department

* 9. Please tell us what you liked most about the service you received.

* 10. Please provide any additional comments, information, and / or suggestions

* 12. If you answered "Yes" to the previous question, please provide your contact information below