Customer Service Survey

Visalia Fire Department takes great pride in serving our community and we are constantly seeking ways to improve our performance. To assist us, we ask that you evaluate our level of service by completing this short survey.

* Date of services received. (Format XX/XX/XXXX)

Time of services received

Address

* Please check the appropriate situation:

		Emergency Situation
		Non-Emergency Situation

What type of service(s) did you use? (Check all that apply)

		Fire Response			Medical Response
		Technical Rescue			Hazardous Material Response
		Citizens assistance/Service request			Public Education
		Fire Prevention

* Where did our personnel assist you?

		Home
		Business
		Other

* Were our personnel polite and courteous?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

* Did our personnel take care of you in a professional manner?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

* Did our personnel respond promptly?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

* How knowledgeable and competent was our personnel?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

* Did our personnel take time to explain their actions?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

* How satisfied were you with the Fire Department's Service?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very unsatisfied

* Overall, how would you rate the City of Visalia Fire Department?

		Very Satisfied
		Satisfied
		Unsatisfied
		Very Unsatisfied

If any Fire Department personnel were especially helpful, please let us know who and how.

Employee(s) Name

Comments

If any Fire Department personnel were especially unprofessional, please let us know who and how.

Employee(s) Name

Comments

What additional services would you like to see your Fire Department provide?

We welcome and encourage your recommendations for improvement.

If you would like a Fire Department Representative to contact you, please provide your name and telephone number or email address.

Name

Phone Number

Email address

* Security

The City of Visalia

420 N Burke St
Visalia, CA 93292
Phone: 559-713-4266