Coastal Medical Transportation Services
Customer & Patient Satisfaction Survey

* Transport Details

Date of Transport

* Your Information (Optional)

* Service and Experience Ratings

  Strongly Agree Agree Neutral Disagree Strongly Disagree Not applicable
I would recommend Coastal Ambulance to a family member of friend.
The employees I interacted with were neat and professional in their appearance.
The vehicle was clean and neat.
The employees I interacted with were respectful, courteous, and professional.
The ambulance or transit vehicle ride was comfortable.
I felt safe at all times during my care and transport.
Ambulance crew members took the time to explain my care and treatment.
Billing, office, or administrative staff were helpful.

* Is there anything we could have done better?

* Do you have any other comments or suggestions?

T