* 1. Please let us know who you are

* 2. If you are a patient or family member, please provide the patients' last name or date of service.

* 3. Our agency provides advanced paramedic care to the county, separate from the volunteer EMS agencies.  We do not operate the ambulances.  Did you know this service existed prior to encountering our employees?

* 4. How was our EMS Service's arrival time?

* 5. Rate the professionalism of our EMT's/Paramedics

* 6. Were our EMT's/Paramedics courteous and kind?

* 7. Please rate the overall quality of care by our EMT's/Paramedics.

* 8. Do you have any other comments, questions, or concerns?

* 9. Is there anything we could have done better?

* 10. If you would like a follow up call, please fill out information below.

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