City of Hays Kansas

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arrow08Emergency Service Customer Survey
City of Hays, KS > Departments > Fire Dept. > Survey >

1. Please rate your overall experience with the City of Hays Fire Department.

 Satisfied  Somewhat Satisfied  Don't know
 Somewhat Dissatisfied   Dissatisfied

2. Please provide us with the date, type, and location of service that
   you are commenting on. (Optional)

3. Did you find Hays Fire staff to be friendly, caring, and professional?

 Yes   No

4. Please rate your impression of the Hays Fire staff that you encountered.

 Excellent   Good  Fair   Poor  Very Poor

5. Please enter comments that you may have about this service.

6. Would you like us to contact you?

 Yes   No

Optional Information

Name:     

Phone:    

E-Mail:     

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