Customer Satisfaction Survey

Ambulance

Promptness with which the ambulance responded? *

Comfort of the vehicle (warmth, lighting, etc.)? *

Cleanliness of the ambulance and equipment? *

Courtesy of the ambulance crew? *

Degree to which the crew took your problem seriously? *

Degree to which the crew kept you informed? *

Technical skill of the crew? *

Knowledge of the crew? *

How would you rate the crew's Professionalism? *

How was your pain treated? *

How were any other symptoms treated? *

Do you feel that the treatments made a difference? *

Quality for service provided? *

Quality of crew members? *

Would you recommend our service to others? *

What could we do to improve our service? *

Comments:

Date *

First Name

Last Name

Phone

* Required fields