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2. 
4. The Sterling Heights Fire Department is continually exploring ways to better serve our community. In order to evaluate and improve our services, we need your input!
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Date of interaction
18. Location of interaction
20. What type of service(s) did you use? (Check all that apply.)

    1. Building Inspection
    2. Vehicle Accident/Rescue
    3. EMS Transport
    4. Citizen Assistance
    5. Public Education

    1. Fire Incident
    2. Carbon Monoxide Alarm
    3. Vehicle Fire
    4. Other
22. How would you rate the attitude of respect and sense of importance for helping others displayed by our department?
    -- Select One --ExcellentGoodAveragePoor
24. How would you rate the professional appearance of fire department personnel, equipment and/or our ambulances?
    -- Select One --ExcellentGoodAveragePoor
26. How would you rate the job performance of the fire department personnel, was the job done well and efficiently?
    -- Select One --ExcellentGoodAveragePoor
28. How would you rate the special care taken by fire department personnel for you and your property?
    -- Select One --ExcellentGoodAveragePoor
30. How would you rate the personal responsibility taken by fire department personnel to answer your questions and resolve your problems?
    -- Select One --ExcellentGoodAveragePoor
32. Did we meet your expectations? If not, please share how we can improve our service in the future.
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34. 1. Receive an email copy of this form.
35. Email address

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36. Submit

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