Department FeedbackBy Tabatha Dickson / March 17, 2021 March 17, 2021 Have you had recent contact or service from a member of the Brookfield Township Division of Fire and Emergency Medical Services? Leave us feedback to let us know how we are doing. Brookfield Fire & EMS Satisfaction SurveyThank your for taking the time to fill out our survey, our goal is to provide you with the very best services possible. By completing this simple questionnaire, you will help us to improve the services that we provide this community and surrounding areas. If you have immediate concerns you can forward them to brookfieldfire&ems@brookfieldfd.net or contact our Headquarters Station at 330-448-1000Please enable JavaScript in your browser to complete this form.Did another department provide your services because Brookfield Fire/EMS was not available?YesNoWhich event or type of service describes your interaction with the Brookfield Township Division of Fire & Emergency Medical Services *Fire ResponseMedical ResponseRescue ResponseHazardous Materials IncidentCitizen Assistance / Service Request (Smoke/CO alarm installation, water issue, animal problem, etc.)Fire Inspection / Fire Code IssuePublic Education / Fire PreventionOtherIf you selected "other" above, please describe.Brookfield Firefighters / EMTs conducted themselves professionally with appropriate mannerisms providing empathy and compassion to your problem Selected Value: 0 Please rate your experience 1-10 with 0=strongly disagree and 10=strongly agreeDid Brookfield Firefighters/EMTs have a genuine concern for your safety and the safety of others?YesNoUnsureIf time allowed, did members explain their actions and why these were taken?YesNoNot applicableBrookfield Firefighters / EMTs displayed knowledge and confidence in their skills and abilities Selected Value: 0 Please rate you experience 1-10 with 0=strongly disagree and 10=strongly agreeWould you feel comfortable calling for assistance in the future?Yes, absolutelyYes, but hesitantNeutralNo, but I have no choiceAbsolutely notDid any staff of The Brookfield Division of Fire & EMS exceed your expectations?Do you have any concerns?What are your suggestions for us to improve the services we provide?NameFirstLastProviding your name is optional.Phone NumberProviding your phone number is optional but will be required if you would like someone to contact you.EmailProviding your email is optional but will be required if you would like someone to contact you via email.Date of ServiceProviding your date of service is optional but it would be helpful for us to address your concerns if it is provided.Do you want someone to call you?YesNoSubmit
