Skip to Main Content

Create a Website Account - Manage notification subscriptions, save form progress and more.

Website Sign In

What We Do
Let Us Help You...
Who We Are

Search

Home
Form Center

Form Center

Search Forms by:

Enter Search Terms Select a Category

Select category/categories to filter

All Categories
Admin/Governing Body
Animal Control
Boards & Committees
E-911
Economic Development
Elections
Emergency Management

Emergency Medical Services
Environmental Health
Fire Marshall
Health Department
Human Resources
Inspections
Juvenile Crime Prevention Council (JCPC)
Library

Parks & Recreation
Public Buildings
Register of Deeds
Risk Management
Social Services
Transportation
Veteran Services
Zoning

Search

By signing in or creating an account, some fields will auto-populate with your information.

911 Citizen Satisfaction Survey

Sign in to Save Progress

This form has been modified since it was saved. Please review all fields before submitting.

Steps

1. Step One (current) This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete
3. Step Three This section is complete This section is incomplete
4. Step Four This section is complete This section is incomplete

Step One

First Name*
Last Name*
Phone Number
Email Address
Address
City
State
Zip Code
Continue

Step Two

Type of Service Requested*
Date Service Requested
Date Service Requested
Approximate Time of Day 911 Call Was Placed
Approximate Time of Day 911 Call Was Placed
Phone Number From Which 911 Call Was Placed
Continue |Go Back

Step Three

Do you feel the phone was answered in a timely manner?
1. Yes
2. No
Was the Telecommunicator polite and courteous while speaking with you?
1. Yes
2. No
If you had an emergency call, how would you rate the Telecommunicator's ability to remain calm, handle the emergency and put you at ease?
1. Excellent
2. Good
3. Fair
4. Poor
Due to high call volume, it is sometimes necessary to put a 911 caller on hold. If the Telecommunicator put you on hold, approximately how long did you remain on hold until the Telecommunicator returned to the line?
1. Less than 1 minute
2. 1 to 3 minutes
3. 3 to 5 minutes
4. More than 5 minutes
5. Does not apply
If you were placed on hold, did the Telecommunicator explain to you why you were asked to hold?
1. Yes
2. No
3. Does not apply
If you requested information, was the information you were given helpful in solving your situation?
1. Yes
2. No
How would you rate the Telecommunicator's knowledge as it pertained to your situation?
1. Excellent
2. Good
3. Fair
4. Poor
How would you rate the service that you received from the Scotland County E-911 system?
1. Excellent
2. Good
3. Fair
4. Poor
Continue |Go Back

Step Four

Do you have any additional comments that you would like to make regarding your contact with the Scotland County E-911?

Leave This Blank:

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

This field is not part of the form submission.
Submit | Go Back

* indicates a required field

Commissioners

Careers

Directory

GIS

forms & applications

Contact Us

517 Peden Street
Laurinburg, NC 28352
Phone: 910-277-2406
Fax: 910-277-2411

Helpful Links

Elections
Parks & Recreation
Social Services
Register of Deeds
Employee Portal

/QuickLinks.aspx

Site Links

Home
Accessibility
Privacy
Copyright Notices

/QuickLinks.aspx

Government Websites by CivicPlus®

Loading

Loading

[]