• City of Tacoma QA
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Feedback Form for Fire Related Services

  
Feedback Form for Fire Related Services

 

The feedback I am providing is: 

 Positive 

 Negative 

 

1. The promptness of the personnel that responded was: 

 Excellent  

 Good  

 Fair  

 Poor  

 

2. The professionalism of the personnel that responded was: 

 Excellent  

 Good  

 Fair  

 Poor  

 

3. The knowledge and competence of the personnel that responded were: 

 Excellent  

 Good  

 Fair  

 Poor  

 

4. The level to which the personnel took time to help me understand the service being provided was: 

 Excellent  

 Good  

 Fair  

 Poor  

 

5. The level of assistance the personnel provided me to deal with my situation was: 

 Excellent  

 Good  

 Fair  

 Poor  

 

6. My level of satisfaction with the service I received from the Fire Department is: 

 Excellent  

 Good  

 Fair  

 Poor  

 

7. In general, my level of satisfaction with the services provided by the Tacoma Fire Department is: 

 Excellent  

 Good  

 Fair  

 Poor 

 

8. Please indicate the type of fire associated with your incident: 

 

 

9. If any members of our staff were especially helpful, please let us know whom they were and how they were helpful. We want to show them our appreciation. 

  

 

Additional Comments: 

  

 

 

Additional Information (Optional)  

This information may help us find our record of your experience. 

 

Date of Fire:   

 

Approximate Time:   

 

Location/Address:   

 

City:   

If other, please clarify in the "Additional Comments" box above. 

 

  

Your Contact Information (Optional) 

 

First Name:   

 

Last Name:   

 

Street Address:   

 

City:     State:     Zip Code:   

 

Phone:   

 

Email:   

 

Confirm Email:   

 

Preferred method of contact:  Phone    Email  

 

Best time to contact you:  8 am - 12 pm      12 pm - 5 pm     5 pm - 9 pm 

  

 

Would you like to be contacted by a Fire Department representative? 

 Yes 

 No 

  



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