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* 1. How many people live in your household

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* 2. What ward do you reside in?

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* 3. What is your annual household income?

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* 4. What is your race (Ethnicity)?

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* 5. Have you ever needed assistance from the Forrest City Fire Department

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* 6. Rate how protected you feel from the following:

  1 2 3 4 5
Terrorist Incidents
Natural Disasters
Hazardous Materials Incidents
Residential Fires
Business Fires
Assisted Living/Nursing Home Fires

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* 7. Please rate the quality of each of the following services:

  1 2 3 4 5
Fire Department website
Public Information
Emergency Medical Response
Community Outreach
Public Education Programs
Response to inquiries
Fire Suppression

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* 8. Please rate your impression of the following characteristics of FCFD personnel. 

  1 2 3 4 5
Appearance
Professionalism
Knowledge
Responsiveness
Courtesy
Overall impression

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* 9. Please relate the following characteristics of the FCFD.

  1 2 3 4 5
Overall presence of FCFD in the community
Overall image and reputation of the FCFD
Overall Appearance of fire stations and equipment
Your overall knowledge of the roles and responsibilities of Forrest City Firefighters
Your overall knowledge of what services the FCFD provides
How do you rate the value of the Forrest City Fire Department to the city

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* 10. The fire department assist the ambulance service by providing care until an ambulance arrives. What can the fire department do to improve or enhance emergency medical services to the citizens of Forrest City, AR?

0 of 10 answered
 

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