Peachtree City Fire & Rescue Feedback Question Title * 1. How did you come in contact with the Fire/Rescue crew? Medical emergency Incident response Motor vehicle collision response Fire incident response Fire or carbon monoxide alarm Fire safety education program Business fire safety inspection Community outreach program Blood pressure check Fire station tour Shopping or other incidental contact Driving or asking for directions Other Question Title * 2. When and where did you encounter the Fire/Rescue crew? Question Title * 3. How would you describe the experience? Very Positive Positive Neutral Negative Very Negative Question Title * 4. How would you describe their appearance? Very Professional Professional Acceptable Not Acceptable Question Title * 5. How would you describe the crew's attitude? (check any that apply) Helpful Compassionate Concerned Sincere Professional Respectful Indifferent Careless Callous Question Title * 6. How would you characterize their technical competence? Very competent Competent Unsure of competence Incompetent Very incompetent Question Title * 7. Would you like to add any specific comments? Question Title * 8. Would you like to discuss your experience with the Fire Chief? Yes No Question Title * 9. Please share any contact information you wish? Name: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 10. Thank you for your feedback, please feel free to add any additional comments in the space below Done