Service Satisfaction Survey

Hanover Fire-EMS mission is to provide the highest quality of care with excellent customer service in your time of need. We strive to constantly improve. Please take a moment to let us know how we are doing. Thank you!

Question Title

* 1. Please select the grade you would give our service based on your experience.

	Excellent	Very Good	Good	Fair	Needs Improvement
Speed of our response	Speed of our response Excellent	Speed of our response Very Good	Speed of our response Good	Speed of our response Fair	Speed of our response Needs Improvement
Quality of our service	Quality of our service Excellent	Quality of our service Very Good	Quality of our service Good	Quality of our service Fair	Quality of our service Needs Improvement
Professionalism of our personnel	Professionalism of our personnel Excellent	Professionalism of our personnel Very Good	Professionalism of our personnel Good	Professionalism of our personnel Fair	Professionalism of our personnel Needs Improvement
Appearance of our personnel	Appearance of our personnel Excellent	Appearance of our personnel Very Good	Appearance of our personnel Good	Appearance of our personnel Fair	Appearance of our personnel Needs Improvement
Attitude of our personnel	Attitude of our personnel Excellent	Attitude of our personnel Very Good	Attitude of our personnel Good	Attitude of our personnel Fair	Attitude of our personnel Needs Improvement
Overall impression	Overall impression Excellent	Overall impression Very Good	Overall impression Good	Overall impression Fair	Overall impression Needs Improvement
Level of satisfaction	Level of satisfaction Excellent	Level of satisfaction Very Good	Level of satisfaction Good	Level of satisfaction Fair	Level of satisfaction Needs Improvement

Question Title

* 2. Please use the box below to provide comments on our department, personnel, or service.

Question Title

* 3. May we contact you regarding your survey responses?

Yes

Question Title

* 4. If you answered "Yes" to the question above, please provide your contact information.

YOUR CONTACT INFORMATION IS NOT REQUIRED TO COMPLETE THIS SURVEY.

Provide contact information ONLY if you wish to be contacted about this survey. Your contact information will not be used for any purpose other than to discuss this survey with you.

Name:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

If you desire to provide more information or have questions, please contact Hanover Fire-EMS at:

Chief Jethro Piland
Phone: 804-365-6195
Email: jhpiland@hanovercounty.gov