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* 1. I am:

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* 2. Age Range:

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* 3. Please select the city council district in which you reside:

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* 4. Please select all of the services that you know the City of Richmond Fire Department provides:

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* 5. I have had to call 911 to request assistance from the City of Richmond fire department in the last:

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* 6. If you have had to utilize the fire department in an emergency situation, please rate your level of satisfaction with their ability to solve your problem or assist you during your emergency?

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* 7. I have been able to take advantage of the many non-emergency services that the City of Richmond fire department offers such as smoke detector installations, child safety seat inspections, and home safety surveys:

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* 8. I would like to receive information about the non-emergency services that the City of Richmond fire department offers:

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* 9. In order to provide non-emergency services like smoke detector installations, child safety seat inspections, and home safety surveys, the fire department should come to my home:

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* 10. I believe the City of Richmond fire department’s community involvement is:

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* 11. In addition to existing emergency and non-emergency services, please list any service that you believe the City of Richmond fire department should start providing the citizens of the City of Richmond:

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* 12. Should the fire department purchase and/or upgrade to the most up to date lifesaving technology available?

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* 13. Should the fire department invest in more online/digital outreach to communicate with the citizens of the City of Richmond?

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* 14. Please list any areas of service delivery that you believe the City of Richmond fire department should improve or expand upon:

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* 15. Please provide any other feedback that you would like to offer the City of Richmond fire department:

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* 16. If you would like to receive additional information about the City of Richmond fire department please provide your email address below. Thank you.

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