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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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