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* 1. Date of Transport

Date

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* 2. Name

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* 3. How would you rate the professionalism / appearance of the crew?

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* 4. How would you rate the cleanliness of the ambulance and/or equipment?

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* 5. How would you rate the crew's knowledge of your illness/injury?

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* 6. How would you rate the quality of care provided by the crew?

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* 7. How well did the crew work together to care for you?

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* 8. How well did the crew explain the procedures performed in a manner that you could understand?

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* 9. How would you rate your interaction with the billing office?

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* 10. How would you rate your overall experience with the Staunton Augusta Rescue Squad?

0 of 10 answered
 

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