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As a Perinatal Center, our goal is to work collaboratively with area hospitals to make certain that mothers and babies receive the care they need. Your feedback is an essential part of that collaboration and ensures that we continue to exceed your expectations while providing your patients with the best possible care.

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* 1. What was the date of transport?

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* 2. Was this a maternal or neonatal transport?

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* 3. Which best describes your title:

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* 4. I was treated in a courteous and professional manner when requesting the transport.

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* 5. The Women's Hospital Transport Team arrived at my facility at the anticipated time.

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* 6. The Women's Hospital Transport Team arrived with the necessary equipment and supplies.

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* 7. The Women’s Hospital Transport Team provided expert clinical care.

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* 8. Our staff was treated with respect and included as part of the team.

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* 9. The Women's Hospital Transport Team interacted with the patient and support person(s) in a supportive and professional manner.

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* 10. Please rate the overall service provided by The Women's Hospital Transport Team.

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* 11. How likely are you to recommend our facility and services to others?

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* 12. If you would like a representative to contact you regarding your experience, please provide your contact information.

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