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|Compliments, Complaints and Comments

Your Feedback

Your Comments help to improve our service to you

We will listen to views and respond to queries and needs Suggestions and Comments We welcome comments from our customers. Please help us to contribute to improve our Service by telling us what we do and what we could do better. Complaints Procedure We aim to profide a high quality service to all our customers, but if you are in any way unhappy with the service that you have recieved from us, we would like to hear from you immediately. Using this form All correspondance from you is treated as confidential Letter of complaint about the Service are acknowledged within two working days Alternative to this online form - This Leaflet is a print out pdf version of the online form you are viewing, it allows you to fill in your Compliments, Comments and Complaints to Staffordshire Fire and Rescue Service, print out and FREEPOST it to us if you wish
Which do you think your message is?
Please tick one box	Compliment Comment Complaint
Name
Address
Postcode
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Let us know what you think
Please use the space below for your feedback
Tell us about yourself
Are you male or female?	Male Female
What is your ethnicity group? Please tick box which most closely reflects your current background
White	British Irish Other white background
Mixed	White and Black Caribbean White and Black African White and Asian Other Mixed background
Asian or Asian British	Indian Pakistani Bangladeshi Other Asian background
Black or Black British	Caribbean African Other Black background
Chinese or Other Ethnic group	Chinese Other Ethnic group
Not Stated	Not Stated
Do you have any of the following disabilities?	Specific learning difficulties, eg dyslexia Blind or partially sighted Deaf or hard of hearing Wheelchair user or mobility difficulty Mental health difficulty
Information
If you wanted to find out information about the Fire and Rescue Service, where would you choose to look for it? Please tick any box which is applicable	Fire Leaflets Fire Station Local Radio Local Newspaper Annual Report Website/Internet
Other
This information is for monitoring purposes only, and will not be disclosed to any third party. All personal information that we hold is maintained in accordance with the Data Protection Act 1998
Your views are very important to us. We would like your views on a regular basis on aspects of our work that you might also be interested in, including changes in your area. We will not pass your personal information to a third party outside Staffordshire Fire and Rescue Service. Please tick this box if you would allow us to consult you again.
I would like to be consulted again	yes