2. Tell us how we did
   Thank you for taking the time to give us the necessary feedback to help improve our service to the community. Please feel free to answer all questions that apply to you as honestly as possible. Thank you.
4. Which event or type of service prompted you to interact with the Minot Fire Department?*

   1. Fire Response
   2. Medical Response
   3. Technical Rescue (trench, building collapse, confined space, rope rescue)
   4. Hazardous materials release
   5. Citizens assist/service request (smoke alarm/CO alarm installation, car seat installation or check)
   6. Fire inspection/fire code issue
   7. Public education/Fire prevention program
   8. Other

   If "Other" please do your best to describe the call for service.
6. Please Describe "other"
8. When did this occur?*
   When did this occur?

   When did this occur?
10. For emergency calls only: From the time one called 9-1-1, Minot firefighters arrived on the scene quickly.

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
    5. Other
12. Please Specify "Other"
16. The following questions will help us assess how our firefighters carried the department values on scene. Please answer the best you can.
18. Minot Fire Department personnel conducted themselves with integrity.*

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
19. Minot Fire Department personnel demonstrated professionalism when interacting with you and other members of the public. *

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
21. Minot Fire Department personnel displayed pride when working to provide emergency or non-emergency service. *

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
22. Minot Fire Department personnel showed compassion when providing service to you and other members of the public. *

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
24. Minot Fire Department personnel were knowledgeable and competent.*

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
25. Minot Fire Department personnel showed adaptability when responding to changing conditions while providing service to you. *

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
27. Minot Fire Department personnel took time to explain their actions.*

    1. Strongly Agree
    2. Agree
    3. Disagree
    4. Strongly Disagree
28. If you answered "Disagree" or "Strongly Disagree" to any of the previous questions, would you like to share specific concerns?
32. The following questions will be specific for a fire response call. Please answer any that apply.
34. If this was a fire, do you feel that the firefighters did everything they could do to minimize damage to your structure and its contents?

    1. Yes
    2. No
    3. N/A
35. If this was a fire and you were not able to occupy your structure, were you given information on services to assist you? (Red Cross, etc)

    1. Yes
    2. No
    3. N/A
39. The following questions will help us know if your expectations were met. Please answer all questions that apply.
41. Did Minot Fire Department personnel provide referrals or information to meet your needs?

    1. Yes
    2. No
    3. N/A
43. Overall, how would you rate the service provided by the Minot Fire Department?*

    1. Excellent
    2. Above Expectations
    3. Average
    4. Fair
    5. Poor
45. Please provide any comments, suggestions, or feedback that can assist us in evaluating the service we provide.
49. If you would like to be contacted by a representative of the Minot Fire Department about the services you received, please fill out the information below. We appreciate the opportunity to follow up when indicated.
51. Name
52. Email Address
54. Address
56. City
57. State
58. Zip Code
60. Phone Number
62. Thank you again for taking the time to help us improve our services. If you have any additional questions please feel free to reach out to the Minot Fire Department at anytime.
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