If you are providing feedback that is not related to an emergency incident, please skip to #12.

If we did not provide excellent service, please let us know in the comment section (#13) what we could do in the future to improve our service.

1. Your Email Address?

2. Date of Emergency? (mm/dd/yyyy)

3. Location of Emergency?

4. If you contacted 9-1-1, how courteous and helpful was the operator? Select one... Excellent Good Fair Poor

5. Response time of Fire Personnel? Select one... Excellent Good Fair Poor

6. Professionalism / Appearance of Firefighting Personnel? Select one... Excellent Good Fair Poor

7. Firefighters handling of your emergency? Select one... Excellent Good Fair Poor

8. Responsiveness to your questions / concerns / needs? Select one... Excellent Good Fair Poor

9. Do you feel that the Firefighters did everything they could to minimize damage to your structure and its contents? Select one... Yes No N/A

10. If you were not able to occupy your structure, were you given information on services to assist you (i.e. Red Cross, Salvation Army, etc.)? Select one... Yes No N/A

11. How would you rate your overall experience with the North Thompsonville Fire Department? Select one... Excellent Good Fair Poor

12. Do you have any questions or concerns that you would like to discuss with someone from the Fire Department? Select one... Yes No
If YES, Please provide a contact number: (xxx) xxx-xxxx
and the best time to contact you: Select One... Morning Afternoon Evening

13. Please provide any additional comments, questions, concerns or recommendations below.