City of Manassas Fire and Rescue System EMS Patient Feedback

City of Manassas Fire and Rescue System EMS Patient Feedback

The City of Manassas Fire and Rescue System takes tremendous pride in serving our community. To accomplish our mission, we need your help by completing this short survey related to the services you received. Thank you in advance for your time.
Please tell us for whom you are completing this survey:

FamilyFriendSelfOther
Date of Incident:

MonthDayYear
Date
Incident Address:
Number of times you've needed to access 911 services in the last 12 months:
Rate our Service
City of Manassas Fire and Rescue Department demonstrated professionalism when interacting with you and other members of the public :

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department personnel were knowledgeable and competent:

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department personnel provided excellent quality of care:

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department personnel took the time to explain their actions:

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department equipment and transport unit were clean:

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department personnel appeared to be committed to your safety, as well as their own:

Strongly AgreeAgreeDisagreeStrongly Disagree
City of Manassas Fire and Rescue Department provided service with a clear intent to achieve excellence:

Strongly AgreeAgreeDisagreeStrongly Disagree
Please provide any comments, suggestions, or feedback that can assist us in evaluating the service we provide.
Should be Empty:

City of Manassas Fire and Rescue System EMS Patient Feedback

Rate our Service