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Fire/EMS Engagement Survey

  1. We are interested in your opinion about the recent Emergency Medical Services you received from the Village of Midlothian Fire Dept. Please help us to improve our services by answering the questions below.
  2. How would you rate the manner in which your call for service was handled by our 911 DISPATCH CENTER?
  3. How would you rate the following of OUR PERSONNEL:

    The level of professionalism exhibited.

  4. How would you rate the following of OUR PERSONNEL:

    The level of competence, courtesy, and concern displayed.

  5. How would you rate the following of OUR PERSONNEL:

    The explanation of care, questions or services provided.

  6. How would you rate the following of OUR PERSONNEL:

    Overall, how would you rate the care you received from us?

  7. Do you wish to be contacted for additional information?*
  8. Leave This Blank:

  9. This field is not part of the form submission.