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Customer Survey

Fields marked with an asterisk (*) are required
* Incident number
* The 911 operator was?

* Crews arrived in a timely manner

* Professionalism/appearance of personnel on scene was

* Firefighter knowledge/competency in dealing with your emergency

* Level of care during transportation to the Hospital

* Overall service recieved from members of the Buckeye Valley Fire District

* * Please include the date, location and nature of your call for assistance
* * Any additional comments, questions or concerns
* Name
* Address
* Email
* Phone number
* Would you like to be contacted in regard to this survey?

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