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Customer Satisfaction Survey

At LifeStar Emergency Services, we strive to treat every patient with the highest level of respect, dignity, compassion, and professionalism as possible.

Please let us know how we are doing.

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* 1. When did we transport the patient or handle the 911 call?

Date of service:

Date

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* 2. What is the last name of the patient that was transported/treated?

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* 3. How would you rate the overall service you received from LifeStar Emergency Services?

Excellent

Above Average

Average

Below Average

Poor

Excellent

Above Average

Average

Below Average

Poor

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* 4. What are some things that we did well or that you were pleased with?

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* 5. What are some things that we need to improve upon?