How Can we do better?

Whether you are a provider we work with,  simply spoke with us on the phone, or we transported you or a loved one in an emergency,  please share your experience with us. 

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* 1. Date of your experience

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* 2. Please indicate which of the following relationship best describes your interaction with our company Advanced Life Systems Ambulance Service. 

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* 3. Did you or someone else call directly to Advanced Life Systems Ambulance Service to request an ambulance? 

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* 4. Please rate your interaction with the Dispatcher that assisted you:

  Excellent Very Good Fair Poor Very Poor N/A
Degree of courtesy and politeness by the Dispatcher handling the call intake process
Efficiency of the dispatcher taking information and answering your questions
Professionalism of the dispatcher you interacted with.

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* 5. Help us improve your experience by evaluating the Advanced Life Systems Ambulance and response time:

  Excellent Very Good Fair Poor  Very Poor N/A
Extent to which the ambulance arrived in a timely manner.
Comfort of the ambulance ride.
Cleanliness of the ambulance. 
Skill of the person driving the ambulance.

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* 6. Based on your interaction with the ambulance crew providing care please evaluate the following:

  Excellent Very Good Fair Poor Very Poor N/A
Degree of professional appearance of the ambulance crew.
Compassion and care shown by the ambulance crew that transported the patient.
Extent to which the ambulance crew kept you informed about procedures and actions necessary for your treatment.
Degree to which the ambulance crew took your emergency seriously.
Degree to which the ambulance crew listened to you or your family.
Ambulance crews concern for your privacy.
Overall, professionalism of the ambulance crew caring for you.

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* 7. Please rate your experience with our Billing Department

  Excellent Very Good Fair Poor Very Poor N/A
Professionalism of Advanced Life Systems Billing office.
Billing Specialist's knowledge regarding your billing questions.
Resolution of your ambulance claim in a timely manner. 
Ability of the Billing Specialist to address your needs and concerns.
Overall Experience with the Billing Specialist that assisted you.

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* 8. How likely are you to recommend Advanced Life Systems, Inc to your friends, family, others?

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* 9. Overall, how would you rate the company Advanced Life Systems, Inc?

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* 10. Please describe any positive or negative experiences with Advanced Life Systems Ambulance.

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* 11. If you would like to be contacted in response to this survey please include your contact information below. 

0 of 11 answered
 

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