Exit CUSTOMER SATISFACTION SURVEY Only Six Questions! Question Title 1. Date of Service Date of Service Date Question Title 2. If you utilized our communications center to arrange transport, how would you rate your experience? Excellent Good Fair Poor N/A Identify specific issues/concerns if applicable Question Title 3. How would you rate the timeliness of our helicopter? Excellent Good Fair Poor Identify specific issues/concerns if applicable Question Title 4. How would you rate the professional attitude of the flight crew? Excellent Good Fair Poor Identify specific issues/concerns if applicable Question Title 5. How would you rate the duration of our bedside time/scene time? Excellent Good Fair Poor Identify specific issues/concerns if applicable Question Title 6. How would you rate the clinical care provided by our flight crew? Excellent Good Fair Poor Identify specific issues/concerns if applicable Done