Lake County Office of Fire RescueCustomer Satisfaction Survey

To our valued customers:

Direct feedback from you, our customer, is our best method to measure the quality assurance on the many services provided by Lake County Fire Rescue. Please take this opportunity to help us evaluate these service(s) through your experience.

Thank you.

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* 1. Date of Service Rendered

Date

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* 2. Enter the Property Address where Service was provided

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* 3. What contact did you have with Lake County Fire Rescue? (Emergency Services)
Please select from dropdown below.

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* 4. What contact did you have with Lake County Fire Rescue? (Non-Emergency Services)
Please select from dropdown below.

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* 5. Please rate our customer service performance in the following categories:

	Excellent	Very Good	Average	Fair	Poor	N/A
Appeared knowledgeable about the job being performed?	Appeared knowledgeable about the job being performed? Excellent	Appeared knowledgeable about the job being performed? Very Good	Appeared knowledgeable about the job being performed? Average	Appeared knowledgeable about the job being performed? Fair	Appeared knowledgeable about the job being performed? Poor	Appeared knowledgeable about the job being performed? N/A
Provided service in a timely and professional manner?	Provided service in a timely and professional manner? Excellent	Provided service in a timely and professional manner? Very Good	Provided service in a timely and professional manner? Average	Provided service in a timely and professional manner? Fair	Provided service in a timely and professional manner? Poor	Provided service in a timely and professional manner? N/A
Professional in appearance and demeanor?	Professional in appearance and demeanor? Excellent	Professional in appearance and demeanor? Very Good	Professional in appearance and demeanor? Average	Professional in appearance and demeanor? Fair	Professional in appearance and demeanor? Poor	Professional in appearance and demeanor? N/A
Answered my questions / concerns clearly and completely?	Answered my questions / concerns clearly and completely? Excellent	Answered my questions / concerns clearly and completely? Very Good	Answered my questions / concerns clearly and completely? Average	Answered my questions / concerns clearly and completely? Fair	Answered my questions / concerns clearly and completely? Poor	Answered my questions / concerns clearly and completely? N/A
Courteous and helpful?	Courteous and helpful? Excellent	Courteous and helpful? Very Good	Courteous and helpful? Average	Courteous and helpful? Fair	Courteous and helpful? Poor	Courteous and helpful? N/A
Overall, satisfaction of service(s)?	Overall, satisfaction of service(s)? Excellent	Overall, satisfaction of service(s)? Very Good	Overall, satisfaction of service(s)? Average	Overall, satisfaction of service(s)? Fair	Overall, satisfaction of service(s)? Poor	Overall, satisfaction of service(s)? N/A

Additional comments:

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* 6. Would you like a follow-up call? (If yes, please provide your name and phone number below.)

Yes

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* 7. Contact information (optional):

Name

Phone

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* 1. Date of Service Rendered

Question Title

* 2. Enter the Property Address where Service was provided

Question Title

* 3. What contact did you have with Lake County Fire Rescue? (Emergency Services)Please select from dropdown below.

Question Title

* 4. What contact did you have with Lake County Fire Rescue? (Non-Emergency Services)Please select from dropdown below.

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* 5. Please rate our customer service performance in the following categories:

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* 6. Would you like a follow-up call? (If yes, please provide your name and phone number below.)

Question Title

* 7. Contact information (optional):

* 3. What contact did you have with Lake County Fire Rescue? (Emergency Services)
Please select from dropdown below.

* 4. What contact did you have with Lake County Fire Rescue? (Non-Emergency Services)
Please select from dropdown below.