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                                           Air Link Patient/Family Satisfaction Survey

1.Transport date?
  1 = strongly disagree  3 = disagree  5 = neutral  7 = agree  10 = strongly agree
2.Transport crew introduced themselves
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3.Courteous/professional transport crew behavior
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4.Neat appearance of transport crew
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5.Hearing protection and safety briefing provided to the patient
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6.Concern for patient comfort by transport crew
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7.Pain management addressed by the transport crew
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8.Knowledgeable/skillful transport crew
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9.I felt safe during this transport
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10.Overall satisfaction
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11.I would recommend this service for critical care transport in the future
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12.Comments on this transport. Also, please share your ideas on how we can improve our organization. We encourage your participation and value your time and input.
13.Contact Information (Optional)
14.Do you have a concern with this transport that you would like to be contacted about?
15.I am willing to be contacted about sharing my story in Air Link's publications or educational events.
16.
On a scale of 0 to 10,
How likely is it that you would recommend this company to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likelyExtremely likely