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	Fire and Rescue Service

User Survey

If we have recently assisted you, we would appreciate it if you could complete the short User Survey below:

Service Details
1.	Are you a citizen of Pitt Meadows?	Yes No
2.	What age group best describes you?	<19 19-30 31-55 >55
3.	What type of service did we provide you with?
	If Other:
4.	How would you rate our promptness of service
5.	How would you rate the service we provided to you?
6.	Please provide us with any specific comments you feel may be required

Personal Details
Please enter your name here for a chance to win a prize draw for participating.
Name:
Phone:
E-mail:

For further information contact Fire Chief Don Jolley at (604) 465-2490

PMFRS in Action