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Welcome to the Miami Township, OH, Action Line
Today is Monday, May 10, 2021.
EMS Feedback Form

Your responses allow us to better meet the needs of our residents.
Thank you for taking the time to "Help Us Help You".

*** Entering your contact information is optional ***

* Information is required.

Contact Information

First Name:
Last Name:

* How would you rate the professionalism of the paramedics?




 
* How would you rate your overall experience with Miami Township Fire & EMS?




 
* How would you rate the EMS personnel's response to your needs?




 
* Did the EMS personnel act in a polite, compassionate, and caring manner?




 
* Did the EMS personnel act in a knowledgeable and competent manner?




 
Additional comments/feedback you would like to share:
 
* Would you like for someone to contact you regarding this questionnaire?


 
If Yes, please note preferred method (Phone or Email) and enter contact information:
 

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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