City of Mt. Pleasant Home

Service Survey Form

The Mt. Pleasant Fire Department provided you with service recently: please take a few moments to tells us how we did. In order to maintain a high level of service your feedback is important to us. Please check the appropriate boxes below. All responses will be maintained in the strictest confidence.


Select Type of Service

Professionalism

bad poor average fair good

Response Time

bad poor average fair good

Attitude of Personnel

bad poor average fair good

Competence

bad poor average fair good

Consistency

bad poor average fair good

Overall Quality of Service

bad poor average fair good

Comments:

Date of Service:

-- mm/dd/yy

Time of Service:

-- hh:mm am/pm

(Optional) Name:

First Name
Last Name
Home Phone
Email

Would you like to be contacted?

Yes No