2. Name of Business
4. Address
6. City
7. State
8. Zip Code
10. Phone Number
11. Email Address
13. Fire Inspector's Name
15. The inspector introduced themself and explained the reason for the visit*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
17. The inspection was helpful:*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
19. The inspector answered all questions:*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
21. The inspector was courteous and respectful:*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
23. The inspector was professional and knowledgeable:*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
25. The inspection was completed in a reasonable amount of time:*

    1. Strongly Agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly Disagree
27. The inspector took the time to educate on all/any violations and how to correct them:*

    1. Strongly Agree
    2. Agree
    3. Neutral/Does Not Apply
    4. Disagree
    5. Strongly Disagree
29. Any additional comments you feel could assist the Brownsville Fire Marshal's Office
31. Would you like a member of the Fire Marshal's Office to contact you? If so, make sure you provided your contact information above.*

    1. Yes
    2. No
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

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35. Submit

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