911 Customer Satisfaction Survey

2. 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.

4. Date and Time of Service*
   Date and Time of Service

   Date and Time of Service

5. Location Phone Number*

7. Your Name*

8. Your Phone Number*

10. Question 1, Quality of Service: How Was Your Overall Experience with 911?*

    1. Excellent

    1. Good

    1. Satisfactory

    1. Poor

12. Question 2, Type of Service: Which Service Did You Request?*

    1. Police

    1. Fire

    1. Medical / EMS

    1. Other

14. Question 3, 911 Operator: Was Your Operator Courteous and Professional?*

    1. Excellent

    1. Good

    1. Satisfactory

    1. Poor

16. Question 4, 911 Answering Time: Was Your Call Answered in a Timely Matter?*

    1. Yes

    1. No

18. Question 5, Information Retrieval: Were Questions Asked Easy For You To Understand?*

    1. Yes

    1. No

    1. I Don't Remember

20. Additional Comments

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field