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Customer Satisfaction Survey

Customer Satisfaction Survey

In an effort to continue to provide quality patient care and better meet your needs, we ask that you complete this survey. We look forward to your comments and recommendations regarding our services and any other concerns you may have. We appreciate your utilization of our service.
Date of Service
Brief Call/Scene Description
Your Role/Responsibility
Organization / Company
Was the communications specialist courteous and helpful?
Did the Flight Crew respond in a reasonable time?
Was the Flight Crew professional and courteous?
Was our medical treatment appropriate for patient?
Overall Impression

Please list any recommendations or comments you may have for improving our services.