City of Piqua Ohio
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 Fire Department
 Services Questionnaire
 
Recently you received the services of the Piqua Fire Department.  As we are always trying to improve our level of service, we are asking your opinion as to the quality of service you received.  Your input will help us in judging the needs of our citizens.  If you have any comments that are not addressed by the questionnaire, please feel free to send us a note, an e-mail to Piqua Fire Department, or contact me directly at the Fire Department.  

You must enter your name to allow us to verify that you have recently received the services of our department. 

Thank you for your assistance.

Gary Connell
City of Piqua Fire Chief
    
 
 
 
Name:                (REQUIRED)
Service Date:  
Phone:              
Email:                
 

     
Did the Fire Department respond in a timely manner? Yes No
   
If "No", please explain.
   

      
Were Department personnel courteous, respectful, & professional? Yes No
   
If "No", please explain.
   

Were you satisfied with the service you received? Yes No
     
 If "No", please explain.
   

Based on your experience, how could we improve our services to you?
   

Do you have any additional comments or questions?
   
 
The members of the Piqua Fire Department are very interested in your thought and opinions.  Thank you for taking the time to complete this questionnaire - we appreciate it.
 
 

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