Thank you for completing this short survey on your experience!

Dear Customer,
      
Thank you for allowing CONFIRE EMS – MOBILE HEALTH (CONFIRE EMS) and Priority Ambulance the opportunity to provide for your medical and transportation needs. CONFIRE EMS, a division of CONFIRE Joint Powers Authority in San Bernardino, California, is a Public Private Alliance Model formed by 12 fire agencies in collaboration with Priority Ambulance. We are always working to improve our service, and your feedback helps us do that.

Please take a moment to complete this survey to help us serve you and your community better. If you prefer to discuss your experience directly, feel free to call us at 855-357-7677 or provide your contact details and availability in the survey.

We appreciate your assistance.

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* 1. I would rate CONFIRE EMS' overall service as?

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* 2. The field crew was professional, courteous, and neat in appearance?

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* 3. The field crew introduced themselves and the company?

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* 4. The field crew was attentive to my personal needs?

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* 5. The ambulance or wheelchair unit was clean and in good order?

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* 6. The ambulance or wheelchair environment was comfortable?

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* 7. The Communications staff (Dispatcher), was professional, courteous, and helpful?

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* 8. The Billing Department staff was professional, courteous, and helpful?

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* 9. I would use CONFIRE EMS for my medical or transport needs in the future?

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* 10. The overall service provided met your expectations?

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* 11. Please provide any additional comments or feedback on your experience with CONFIRE EMS.

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* 12. Please provide your name.

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* 13. Please provide your run number (on your invoice if available).

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* 14. What city did your service originate in?

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* 15. Would you like to be contacted about your comments on this form?

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* 16. If you would like to be contacted, please provide a phone number, email or other preferred method of contact.

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