Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Luzerne County 9-1-1 Customer Satisfaction Survey

  1. Give as much detail about the initial call as you can here, including the nature of your call to 9-1-1
  2. 2. Promptness in answering your call
  3. 3. Competency and proficiency in processing your call and sending help to your location:
  4. 4. Courtesy and Professionalism from Luzerne County 9-1-1 employee:
  5. 5. Overall satisfaction with Luzerne County 9-1-1:services
  6. The staff of Luzerne County 9-1-1 thank you for taking the time to participate in the survey and for helping us better serve you.
  7. Leave This Blank:

  8. This field is not part of the form submission.