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Tell us what you think about our web site, our products, our organization, or anything else that comes to mind. We welcome all of your comments and suggestions.

Ambulance Company

1. Do you feel that our response to your call for assistance was made in an acceptable time?

Yes No

Other:

2. Did the care you received from our EMTs/Paramedics meet or exceed your expectations?

Yes No

Other:

3. Do you feel the care you received from our EMTs/Paramedics was excellent?

Yes No

Other:

4. Did our EMTs/Paramedics act in a compassionate and professional manner?

Yes No

Other:

5. Did our EMTs/Paramedics explain your illness or injury  and the reason for their treatment?

Yes No

Other:

6. Have your received a bill for this service?

Yes No

Other:

7. If so, was the billing service courteous and helpful?

Yes No

Other:


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Copyright 2001 [OrganizationName]. All rights reserved.
Revised: 06/19/07.