Home Government City Departments Fire Customer Survey Edit Form Fire Department Survey Please take a moment to complete the survey below. Please enter your date of service if applicable Please rate your recent interaction with Fire Service Personnel* Excellent Fair Poor Do you have working smoke detectors in your home?* Yes No If you had a question, were you able to find the answer on the department's website?* Yes No Do you feel the department provides quality fire prevention and life-safety education?* Yes No Have you ever attended the Fire Department's Open House / Pancake Breakfast?* Yes No Do you wish to be contacted by a department official?* Yes - Please contact me No Please provide any comments or feedback about your experience with the Highland Park Fire Department:*? Customer Information Please include as much information as possible to help us improve our services. Your First Name Your Last Name Home Address Email Phone Preferred Method of Contact*? Phone Email Citizens Request Center Department*? Department 1 Department 2 Your First Name* Your Last Name* Email* Phone* Issue*? Preferred Method of Contact*? Email Phone
