Email Address:   First Name: Last Name: Address: Nature of Incident:

Please rate the following services as Outstanding, Satisfactory, Unsatisfactory, or Unsure:

1) The repsonse time to your emergency? Outstanding Satisfactory Unsatisfactory Unsure   2) Professionalism/appearance of the firefighters? Outstanding Satisfactory Unsatisfactory Unsure   3) Their knowledge/competency in dealing with your emergency? Outstanding Satisfactory Unsatisfactory Unsure   4) Did the firefighters answer your questions and keep you informed? Outstanding Satisfactory Unsatisfactory Unsure   5) Overall service received from the Hobbs Fire Department? Outstanding Satisfactory Unsatisfactory Unsure   6) Hobbs Fire Department contracts with private ambulance companies to transport patients to the hospital. How was your experience with the ambulance company during your transport (if applicable)? Outstanding Satisfactory Unsatisfactory Unsure   Comments made on any of the above questions and/or general comments: