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Smoke Alarm Installation Survey
This form has been modified since it was saved. Please review all fields before submitting.
Do you feel your request for an inspection was answered promptly?
*
-- Select One --
Yes
No
Undecided
Were the firefighter/EMTs who came to inspect your smoke alarm(s) courteous and professional?
*
-- Select One --
Yes
No
Undecided
Did the firefighter/EMTs provide you with information regarding the operation and regular testing of your smoke alarm(s)?
*
-- Select One --
Yes
No
Undecided
Do you have any additional questions that were not answered at the time of our visit?
Additional Information/Comments:
Date of Inspection:
How would you rate our overall customer service?
*
Very Satisfied
Satisfied
Fair
Unsatisfied
Very Unsatisfied
Age of your home:
Type of home:
*
Single Family
Townhouse
Condo/Apartment
Other
Number of Occupants in each age category living in your home:
0-5 Years
6-12 Years
13-17 Years
18-54 Years
Over 55 Years
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