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2. We are glad that you have chosen to locate your business inside the City of Tomball and we hope that the information gained from our inspection was beneficial to you and your business. Please take a moment to rate your experience for us so that we may better serve you and future business owners in the City.
4. Name of Business:
6. Address of Business
8. City
9. State
10. Zip
12. Phone Number
14. Inspector Name:
16. Please select the response that most accurately reflects your opinion for each statement.
18. The inspector introduced himself and explained the reasons for the visit?*

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
20. The inspection was helpful:*

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
22. The inspector answered all questions:*

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
24. The inspector was courteous and respectful: *

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
26. The inspector was professional and knowledgeable:*

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
28. The inspection was completed in a reasonable amount of time:*

    1. Strongly Agree
    2. Agree
    3. No feelings either
    4. Disagree
    5. Strongly Disagree
30. The inspector took the time to educate you on all violations and how to correct them:*

    1. Strongly Agree
    2. Agree
    3. No feelings either/ Does not apply
    4. Disagree
    5. Strongly Disagree
32. Any Additional Comments that you feel could assist the Fire Prevention Division:
34. Optional Contact Information
36. Would you like a member of the Fire Prevention Division to contact you?*

    1. Yes
    2. No
38. If you answered yes, please provide at least one of the next two.
40. Phone Number:
41. Email Address:
Leave This Blank:


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

    This field is not part of the form submission.

45. Submit Submit and Print

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