Galax Grayson EMS Cutomer Satisfaction Survey

1. Default Section

1. Please enter the trip number as it appears on your bill.
2. Response time:
3. Crew Appearance:
4. Crew Interaction With Patient:
5. Competency of Crew:
6. Did the crew act in a courteous/caring manner?
7. Did the crew relieve your anxiety/discomfort?
8. Quality of Care Recieved:
9. Interaction With Billing Office:
10. Overall Experience:
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