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911 Customer Satisfaction Survey
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This form has been modified since it was saved. Please review all fields before submitting.
DECC is working to improve the quality of our services. You can help by rating the services we provided using the following survey. The information and comments that you offer will greatly assist us in evaluating our culture of service. We appreciate your time in responding to this survey. Remember, this survey is dealing only with the telephone segment of the service provided.
Date and Time of Service
*
Date and Time of Service
Date and Time of Service
Location Phone Number
*
Your Name
*
Your Phone Number
*
Question 1, Quality of Service: How Was Your Overall Experience with 911?
*
Excellent
Good
Satisfactory
Poor
Question 2, Type of Service: Which Service Did You Request?
*
Police
Fire
Medical / EMS
Other
Question 3, 911 Operator: Was Your Operator Courteous and Professional?
*
Excellent
Good
Satisfactory
Poor
Question 4, 911 Answering Time: Was Your Call Answered in a Timely Matter?
*
Yes
No
Question 5, Information Retrieval: Were Questions Asked Easy For You To Understand?
*
Yes
No
I Don't Remember
Additional Comments
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Service request:
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