Date of call Type of call Police Fire Medical Approximate time of call Municipality of incident (Township or Boro) Choose the appropriate rating of service: (5 Excellent - 1 = Poor) When you called 9-1-1, was your call answered promptly? 5 - Excellent 4 3 2 1 - Poor Do you feel the 9-1-1 personnel were knowledgable 5 - Excellent 4 3 2 1 - Poor Do you feel that your call was handled in a professional manner? 5 - Excellent 4 3 2 1 - Poor Were the 9-1-1 personnel couteous and helpfull? 5 - Excellent 4 3 2 1 - Poor Did the 9-1-1 personnel understand your needs and obtain the necessary information? 5 - Excellent 4 3 2 1 - Poor Overall, how would you rate the 9-1-1 service? 5 - Excellent 4 3 2 1 - Poor Please share any comments or suggestions: IF you would like, enter your telephone number or email address below se we could contact you if needed. Thank you for your time and cooperation Please note that this in not a complaint form. Therefore, you will not receive a reply. This form is for the 9-1-1 center's handling of you phone call for assistance. This form is not for the performance or actions of the emergency personnel that actually responded to your call.
