EMS Form

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ORLAND FIRE PROTECTION DISTRICT
9788 W 151 ST
ORLAND PARK, IL 60462

Business Phone
708-349-0074

EMS Survey

If you were mailed a survey card to comment on EMS service provided to you by the Orland Fire District, you can use this form to reply. Please answer each question.

If you want a reply, please provide a way to contact you. This is not required to complete the survey.

* REQUIRED FIELD

Enter validation code from your letter * Please rate the following items.
1. Response time of firefighter-paramedics. Excellent Adequate Needs Improvement
2. Professionalism and courtesy of firefighter-paramedics. Excellent Adequate Needs Improvement
3. Explanation of treatment options by firefighter-paramedics. Excellent Adequate Needs Improvement
4. Overall experience with Orland Fire District. Excellent Adequate Needs Improvement
Please include any additional comments or observations that you consider important.
Validation Question *	What color are OFPD engines?

Optional Contact Information (Provide a way for us to contact you.)
Contact Name *
Street Address	Apt / Unit Number
City
State
Zip Code
Phone *
Email
Please contact me as soon as possible regarding this matter.

Thank you for participating in this survey. You are helping improve our service.