Patient Satisfaction Survey
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1.
Please provide the ambulance run# which should have been provided by the crew member at the time of transport.
(Required.)
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2.
Which county did the transport take place in?
(Required.)
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3.
My overall experience with AAA Ambulance Service was excellent.
(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
4.
The dispatcher spoke clearly and was helpful.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
5.
The ambulance crew was professional, helpful, and provided excellent care.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree