Lawrence Douglas County Fire Medical

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Customer Satisfaction Survey

The Lawrence-Dougals County Fire Medical Department is interested in your opinion regarding our services. Your feedback will help us improve services.

What was the nature of the service we provided you? Fire      Medical      Public Education      Inspection
Other (Please specify):
How would you rate the following:

(Excellent=5, Good=4, Fair=3, Needs Improvement=2, Poor=1)

  1. Usefulness of the information provided: 5  4  3  2  1
  2. Professionalism of the employee who assisted you: 5  4  3  2  1
  3. Timeliness of arrival: 5  4  3  2  1
  4. Quality of medical care you received (if applicable): 5  4  3  2  1
  5. Responsiveness of the department (if applicable): 5  4  3  2  1
Do you have additional comments to share?
If you would like a response, please provide your name and contact information: First name: Last name:
Preferred Contact Method:
Phone:
Mail:
E-mail:

   

Questions regarding this survey can be addressed to Alicia Holliday at (785) 830-7010.