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2. Thank you for taking the time to fill out our Customer Satisfaction Survey. The King George County, Department of Fire, Rescue, & Emergency Services strives to provide an exceptional level of service to the citizens and guests we serve. Just as we hope your experience was met with the quality that you would expect, we do want to know if there are ways we can improve our services as well.
4. How were you assisted by King George Fire & Rescue?

   1. Community / Education Event
   2. Emergency 911 Call
   3. Non-Emergency Call (Public Service)
   4. Other
5. Did the 911 Emergency Dispatcher provide adequate response to your needs?

   1. Yes
   2. No
   3. N/A
7. Did personnel assisting you present as:
9. Professional?

   1. Yes
   2. No
10. Courteous?

    1. Yes
    2. No
11. Knowledgeable?

    1. Yes
    2. No
13. Did personnel provide individual attention to your needs?

    1. Yes
    2. No
    3. N/A
14. Did personnel provide an adequate explanation of our actions?

    1. Yes
    2. No
    3. N/A
16. Would you like to be contacted by an Officer in reference to your event?

    1. Yes
    2. No
17. How would you like to be contacted?

    1. Email
    2. Phone
19. Please Provide Your Email
20. Please Provide Your Phone Number
22. Incident Information
24. Date / Time
    Date / Time

    Date / Time
26. Address
28. City
29. State
30. Zip Code
32. Please let us know how we can serve you better.
34. Additional comments and/or information?
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field