Ulster County Community EMS Survey

Ulster County Government has partnered with the Center for Public Safety Management (CPSM) to provide an in-depth evaluation of the Emergency Medical Services(EMS) system in Ulster County to identify improvement areas, and identify a series of opportunities for the County and its agencies to pursue related to improving EMS delivery in the County.

As a crucial part of this project, we are seeking community input regarding EMS delivery in Ulster County.

Your investment of approximately 5 minutes completing this survey would be an exceptionally valuable part of this project.

If you have any questions regarding this survey, or would like to add additional information, please feel free to contact Matt Zavadsky at MZavadsky@cpsm.us.

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* 1. How long have you lived in Ulster County?

Less than 3 years

3 – 10 years

More than 10 years

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* 2. In which community do you reside within Ulster County?

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* 3. Do you know which EMS agency services your community?

Yes

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* 4. If YES: Which Agency?

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* 5. Have you been a patient cared for by one of Ulster County’s Emergency Medical Services System agencies within the past 3 years?

YES

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* 6. If YES: On a scale of 1 – 5, with 5 being the highest, how would you rate the services provided to you by the EMS agency?

	1	2	3	4	5
Interaction with the 911 dispatcher.	Interaction with the 911 dispatcher. 1	Interaction with the 911 dispatcher. 2	Interaction with the 911 dispatcher. 3	Interaction with the 911 dispatcher. 4	Interaction with the 911 dispatcher. 5
Timeliness of the ambulance arrival.	Timeliness of the ambulance arrival. 1	Timeliness of the ambulance arrival. 2	Timeliness of the ambulance arrival. 3	Timeliness of the ambulance arrival. 4	Timeliness of the ambulance arrival. 5
The medical care provided by the EMS personnel.	The medical care provided by the EMS personnel. 1	The medical care provided by the EMS personnel. 2	The medical care provided by the EMS personnel. 3	The medical care provided by the EMS personnel. 4	The medical care provided by the EMS personnel. 5
Extent that the EMS personnel kept you informed about your care.	Extent that the EMS personnel kept you informed about your care. 1	Extent that the EMS personnel kept you informed about your care. 2	Extent that the EMS personnel kept you informed about your care. 3	Extent that the EMS personnel kept you informed about your care. 4	Extent that the EMS personnel kept you informed about your care. 5
The condition of the ambulance and equipment.	The condition of the ambulance and equipment. 1	The condition of the ambulance and equipment. 2	The condition of the ambulance and equipment. 3	The condition of the ambulance and equipment. 4	The condition of the ambulance and equipment. 5
The ambulance billing process.	The ambulance billing process. 1	The ambulance billing process. 2	The ambulance billing process. 3	The ambulance billing process. 4	The ambulance billing process. 5
Likelihood of recommending the service to others.	Likelihood of recommending the service to others. 1	Likelihood of recommending the service to others. 2	Likelihood of recommending the service to others. 3	Likelihood of recommending the service to others. 4	Likelihood of recommending the service to others. 5

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* 7. On a scale of 1-5, with 5 being most knowledgeable, how knowledgeable are you about the level of service provided to you by your local EMS agency (i.e.: level of clinical care, response times, etc.).

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* 8. On a scale of 1 – 5, with 5 being the highest, how would you rate the services provided by your local EMS agency:

	1	2	3	4	5
Overall reputation.	Overall reputation. 1	Overall reputation. 2	Overall reputation. 3	Overall reputation. 4	Overall reputation. 5
Ability to meet the community’s EMS needs.	Ability to meet the community’s EMS needs. 1	Ability to meet the community’s EMS needs. 2	Ability to meet the community’s EMS needs. 3	Ability to meet the community’s EMS needs. 4	Ability to meet the community’s EMS needs. 5
Professionalism of the staff.	Professionalism of the staff. 1	Professionalism of the staff. 2	Professionalism of the staff. 3	Professionalism of the staff. 4	Professionalism of the staff. 5
Medical care provided.	Medical care provided. 1	Medical care provided. 2	Medical care provided. 3	Medical care provided. 4	Medical care provided. 5
Facilities and equipment.	Facilities and equipment. 1	Facilities and equipment. 2	Facilities and equipment. 3	Facilities and equipment. 4	Facilities and equipment. 5
Response time.	Response time. 1	Response time. 2	Response time. 3	Response time. 4	Response time. 5
Overall value to the community.	Overall value to the community. 1	Overall value to the community. 2	Overall value to the community. 3	Overall value to the community. 4	Overall value to the community. 5

Ulster County Community EMS Survey

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* 1. How long have you lived in Ulster County?

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* 2. In which community do you reside within Ulster County?

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* 3. Do you know which EMS agency services your community?

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* 4. If YES: Which Agency?

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* 5. Have you been a patient cared for by one of Ulster County’s Emergency Medical Services System agencies within the past 3 years?

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* 6. If YES: On a scale of 1 – 5, with 5 being the highest, how would you rate the services provided to you by the EMS agency?

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* 7. On a scale of 1-5, with 5 being most knowledgeable, how knowledgeable are you about the level of service provided to you by your local EMS agency (i.e.: level of clinical care, response times, etc.).

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* 8. On a scale of 1 – 5, with 5 being the highest, how would you rate the services provided by your local EMS agency:

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* 9. Is there anything else you would like to share about your local EMS agency, or the EMS system in Ulster County?