In our continuing effort to provide the best possible service, we
are requesting your input. If you have recently had the need
to dial 9-1-1 and request help, we ask that you complete and submit
this form to provide us with any feedback, positive or negative,
about your recent experience using the 9-1-1 system.
It would greatly help our efforts if you would provide your name,
the telephone number you used to dial 9-1-1, and the date and time
of the incident. If we have that information, we can make a
valid search for the call and review it in light of your comments.
If you would rather remain anonymous, you may, but we may not be
able to accurately locate the call in our historical records without
any incident data, and may not be able to adequately address any
reported problems.
If you would like us to contact you, please mark the appropriate
box and we will contact you personally to discuss your experience.
We sincerely appreciate your input and continue to strive to make
the 9-1-1 experience as efficient and courteous as possible.
Please note that we are NOT soliciting input
regarding any service providers or agencies, like your police, fire
or ambulance. We are solely interested in your input regarding
your 9-1-1 service. If you have comments regarding a service
provider or agency, please feel free to call our business office at
570-992-4500 to obtain contact information for those specific
agencies. Thank you for your cooperation.
9-1-1 Call Data - Please be as accurate as possible to assist us
in locating the appropriate records
Name of the original 9-1-1 caller:
Telephone number used to dial 9-1-1:
Date of original 9-1-1 call:
Time of original 9-1-1 call:
AM
PM
Location of original incident
(Please be as specific as possible)
9-1-1 Experience Survey Questions
Was your call answered
promptly?
Yes
No
Don't Know
Was your call handled in a
timely manner?
Yes
No
Don't Know
Were the 9-1-1 personnel
professional?
Yes
No
Don't Know
Do you feel that the 9-1-1
personnel were knowledgeable?
Yes
No
Don't Know
Were the 9-1-1 personnel
courteous & helpful?
Yes
No
Don't Know
Did the 9-1-1 personnel
understand your needs?
Yes
No
Don't Know
Did the 9-1-1 personnel
obtain the necessary information?
Yes
No
Don't Know
Did the 9-1-1 personnel
take the time to explain any
of their actions to you, if necessary?
Yes
No
Don't Know
Overall, was
the 9-1-1 service
Better than you expected
About what you expected
Worse than you expected
Contact Information
Please contact me personally about this call:
Please complete the
following information ONLY if you would like us to contact you about
this 9-1-1 experience:
Name of person to contact::
Phone number of person to contact:
Email address of person to contact:
-OR -
Additional Comments
Please note any additional comments, questions or
suggestions in the space provided here:
Send mail to
kbarwick@monroeco911.com with
questions or comments about this web site. Our site allows you to link to other
sites not owned or controlled by us, and contains information provided to us by
other agencies, please read our disclaimer.
Monroe
County Control Center