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Riverdale Fire Department Survey
A form created by the Riverdale Fire Department, for residents to rate the quality of service that our residents receive.
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* Indicates required question
Do you wish to remain anonymous?
Yes
No
Clear selection
If not, please state your name
Your answer
Email Address
Your answer
Phone number
Your answer
What Department area did you receive service in?
*
The Fire Department
Emergency Medical Services (needed ambulance)
Code Enforcement
Inspectional Services
Other:
Required
Please state name of employee(s) who serviced you today
Your answer
Please rate the experience you had with our employee(s).
*
Least pleasurable
1
2
3
4
5
Most pleasurable
Were all of the employee(s) that you encountered professional?
*
Yes
No
Other:
Were you serviced at the Public Safety Building?
*
Yes
No
Other:
If not; please list the location you were serviced:
Your answer
How would you rate the conditions at the Public Safety Building?
*
Least pleasurable
1
2
3
4
5
Extremely pleased
Was the employee servicing you today pleasant?
*
Yes
No
Other:
Would you like to be contacted regarding feedback from this survey?
Yes
No
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Please provide any additional feedback.
Your answer
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