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9-1-1 Survey

Quality Assurance

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, such as your police, fire or ambulance service.  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 972-230-9353 to obtain contact information for those specific agencies.  Thank you for your cooperation.

Cedar Hill: 972-291-5100 DeSoto: 972-274-2489 Duncanville: 972-780-5000
 

9-1-1 Call Data

Please be as accurate as possible to assist us in locating the appropriate records
E-mail Address:*
Name of the original 9-1-1 caller:*
Telephone number used to dial 9-1-1 (###.###.####):*
Date of the original 9-1-1 call (MM-DD-YYYY):*
Time of the original 9-1-1 Call (HH:MM):* AM PM
Location of original incident
(please be as specific as possible):*

9-1-1 Call Experience

Regarding your call to 9-1-1, please check the box that best describes how satisfied or dissatisfied you were with the following activities revolving around your call.
1: Very satisfied, 2: Satisfied, 3: Dissatisfied, 4: Very dissatisfied, 5: Don’t know
My call was answered promptly. 1 2 3 4 5
My call was handled in a timely manner. 1 2 3 4 5
I was satisfied with how 9-1-1 addressed my issue. 1 2 3 4 5
9-1-1 personnel were courteous and helpful. 1 2 3 4 5
9-1-1 personnel were knowledgeable. 1 2 3 4 5
9-1-1 personnel understood my concerns. 1 2 3 4 5
9-1-1 personnel asked the right questions in order to obtain the necessary information. 1 2 3 4 5
9-1-1 personnel conducted themselves professionally during this call. 1 2 3 4 5
9-1-1 personnel put me at ease. 1 2 3 4 5
9-1-1 personnel took the time to explain any actions, if necessary. 1 2 3 4 5
How satisfied or dissatisfied would you say you were with the entire 9-1-1 experience? 1 2 3 4 5
Would you have any suggestions to improve the 9-1-1 process, based on your experience?

Contact Information

Please fill out the following ONLY if you would like us to contact you personally about this 9-1-1 Call.
Your Name:
Your Email:
Your Phone: (###.###.####):
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