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1
Name
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First Name
Last Name
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2
Business Name
*
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(e.g., [Town] Fire Department, [Town] DPW, etc.)
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3
Position/Role
*
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(e.g., Firefighter, Lieutenant, Equipment Manager, etc.)
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4
What product(s) and/or service(s) did you purchase?
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5
What made you choose State Line Fire & Safety?
*
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(e.g., location, word-of-mouth, service, etc.)
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6
How would you describe the quality of the products and/or services you received?
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Please Select
Excellent
Good
Fair
Poor
Not applicable/ Haven't used yet
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Excellent
Good
Fair
Poor
Not applicable/ Haven't used yet
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7
How was your experience working with our team?
*
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Exceptional
Great
Okay
Poor
Haven't interacted with the team directly
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Exceptional
Great
Okay
Poor
Haven't interacted with the team directly
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8
What impact has our gear and/or service had on your department or day-to-day work?
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9
Would you recommend State Line to other departments or individuals? Why or why not?
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10
Is there anything else you'd like to share about your experience?
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11
Can we use your testimonial for marketing purposes?
*
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Please Select
Yes, with name and department
Yes, but keep it anonymous
No
Please Select
Please Select
Yes, with name and department
Yes, but keep it anonymous
No
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