Skip to Main Content
Loading
Loading
Government
Courts
Departments
Live & Work
Visit
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
911 Emergency Services
Aging
Children & Youth
Corrections
County Council
County Manager
Drug & Alcohol
Elections
GIS/Mapping
Human Services
Judicial Services & Records
Mature Worker Program (SCSEP)
Operational Services
Public Defender
Solicitor
Veterans
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
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
1. What was the date, approximate time, and address (include City, Boro or Township) of your 9-1-1 call? Please include AM or PM
Give as much detail about the initial call as you can here, including the nature of your call to 9-1-1
2. Promptness in answering your call
Excellent
Good
Adequate
Poor
Unacceptable
N/A
3. Competency and proficiency in processing your call and sending help to your location:
Excellent
Good
Adequate
Poor
Unacceptable
N/A
4. Courtesy and Professionalism from Luzerne County 9-1-1 employee:
Excellent
Good
Adequate
Poor
Unacceptable
N/A
5. Overall satisfaction with Luzerne County 9-1-1:services
Excellent
Good
Adequate
Poor
Unacceptable
N/A
6. Additional comments or concerns about your experience with Luzerne County 9-1-1
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.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow