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Contact Form for Fire Department
EMS and Quality Assurance Division
The Anne Arundel County Fire Department is committed to providing outstanding medical care to the residents of Anne Arundel County. Your comments are important to us.
FD Technical Response Survey
Name:
Email Address:
*
Phone Number:
Date of Call:
What was your relationship with this service?
Patient
Bystander
9-1-1 Caller
Family Member
Owner/Occupant
Other
Tell us how our Firefighters/Paramedics performed.
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
They displayed a "we want to help" attitude.
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
They were courteous?
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
They performed their jobs quickly and efficiently?
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
They explained all care and procedures given
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
Did our service exceed your expectations?
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
How did we exceed your expectations?
How satisfied are you with the quality of service in these areas?
Receipt of 9-1-1 call
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
Response Time
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
Medical Treatment
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
Ambulance Transportation
Strongly Agree
Agree
Neither Agree Nor Disagree
Strongly Disagree
Does Not Apply
Your additional comments and suggestions are appreciated: