1

Would you like a member of the Fire Department's Leadership Team to contact you regarding the service you were provided?

Would you like a member of the Fire Department's Leadership Team to contact you regarding the service you were provided?

No thank you.

Yes, please enter your name & perferred contact info below If other, type text here.

2

What members of our staff provided you service? (please check all that apply)

What members of our staff provided you service? (please check all that apply)

Fire Marshal Rodger Maggio

Fire Inspector Jason Beres

Fire Inspector Kerry Boyle

Fire Inspector Molly Brown

Administrative Assistant Joey Nau

Other (please list below) If other, type text here.

3

On what DATE did we provide you service?

On what DATE did we provide you service?

4

What was the ACTIVITY related to your feedback?

What was the ACTIVITY related to your feedback? (Select an Answer) Fire Plan Review Fire Construction Inspection Hazardous Materials Inspection Underground Tank Inspection Fire Investigation Other (please describe)

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