EMS Provider Satisfaction Survey
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1. EMS Provider Satisfaction Survey

EMS provider-
We want to know how you think we are doing as a team when it comes to handoffs and the transfer of care of your patients. Please let us know how you feel we are doing and any feedback or comments about how we can improve our care and our relationship with you. We appreciate all that you do and want collaborate with you to create an even better team environment within our ED. Thank you!
Centra Emergency Department

1. Please rate the ED staff as a whole on the following:

	Poor	Fair	Good	Rock Start
Responsiveness to report	*Please rate the ED staff as a whole on the following: Responsiveness to report Poor	Responsiveness to report Fair	Responsiveness to report Good	Responsiveness to report Rock Start
Professionalism	Professionalism Poor	Professionalism Fair	Professionalism Good	Professionalism Rock Start
Clinical Knowledge	Clinical Knowledge Poor	Clinical Knowledge Fair	Clinical Knowledge Good	Clinical Knowledge Rock Start
Customer Service	Customer Service Poor	Customer Service Fair	Customer Service Good	Customer Service Rock Start
Positive Attitude	Positive Attitude Poor	Positive Attitude Fair	Positive Attitude Good	Positive Attitude Rock Start

Please give us any feedback you can!

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EMS Provider Satisfaction SurveyExit this survey

1. EMS Provider Satisfaction Survey

1. Please rate the ED staff as a whole on the following:

EMS Provider Satisfaction Survey
Exit this survey