Exit this survey EagleMed Customer Satisfaction Survey Question Title * 1. Were you satisfied with your last experience with our company? Extremely satisfied Moderately satisfied Slightly satisfied Neither satisfied nor dissatisfied Slightly dissatisfied Moderately dissatisfied Extremely dissatisfied Other (please specify) Question Title * 2. Was your call answered promptly? 1 Ring 2 Rings 3 Rings 4 RIngs More than 4 rings Other (please specify) Question Title * 3. Was the Communications Specialist professional and helpful? Extremely Very Moderately Slightly Not at all Other (please specify) Question Title * 4. Were you given correct aircraft arrival times? Yes No Other (please specify) Question Title * 5. Did the crew arrive with necessary equipment and supplies? Yes Mostly Not so much No Other (please specify) Question Title * 6. Was patient report taken / given appropriately? Yes No Other (please specify) Question Title * 7. Was patient assessment performed and appropriate? Yes No Other (please specify) Question Title * 8. Were the crew bedside / scene times appropriate for the patient? Appropriate To short To long Other (please specify) Question Title * 9. Were the crews friendly and interact appropriately with your staff? Extremely Very Moderately Slightly Not at all Other (please specify) Question Title * 10. How professional is EagleMed, were the crews attitudes and appearances professional? Extremely professional Very professional Moderately professional Slightly professional Not at all professional Other (please specify) Question Title * 11. Compared to other air medical services, is our service quality better, worse, or about the same? Much better Slightly better About the same Slightly worse Much worse Question Title * 12. Will you call EagleMed again? Yes Maybe Probably not No Other (please specify) Question Title * 13. What can we do to improve our service? Question Title * 14. If known, please provide the following information. Date Your Facility / Agency EagleMed Pilot EagleMed Nurse EagleMed Paramedic Mission Number Done