Incident Feedback Form

Your feedback and comments are always welcome. Your contact information is optional; however, please provide if you wish to receive a follow-up call or e-mail.

What contact did you have with Amador Fire?

Fire

Medical

OtherOther

Please rate the service you received from Amador Fire in the following categories:

After the immediate emergency was addressed, District personnel answered my question clearly and completely.

Amador Fire personnel were courteous and helpful.

Amador Fire personnel provided service in a timely and professional manner.

Amador Fire personnel appeared knowledgeable about the job that they were performing.

I would rate the overall service of Amador Fire Protection District as:

Contact Information

Optional: Please provide contact information if you wish a follow-up call or email.

Name

Phone Number

Email Address

Address

City

State/Province

Zip/Postal

Country

Amador Fire Incident Feedback Form

Please rate the service you received from Amador Fire in the following categories:

Contact Information