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1.
Have you heard of Advanced Paramedic Ltd. before?
(Required.)
Yes
No
2.
Have you, a friend or family member used our services?
(Required.)
Yes
No
3.
RANK YOUR OVERALL EXPERIENCE WITH APL (SELECT ONE):
(Required.)
0 - Very disatisfied
1 - Disatisfied
2 - Neither disatisfied or satisfied
3 - Slightly satisfied
4 - Satisfied
5. Very Satisfied
6. N/A
0 - Very disatisfied
1 - Disatisfied
2 - Neither disatisfied or satisfied
3 - Slightly satisfied
4 - Satisfied
5. Very Satisfied
6. N/A
Comments:
4.
What went well during the use of our services?
(Required.)
5.
What do you think could be improved during the use of our services?
(Required.)
6.
Have you, a friend or family member used any emergency medical services before in Alberta?
(Required.)
Yes
No
7.
Were you involved in your own, or your family members care decisions?
(Required.)
Yes
No
8.
Were you made aware of your rights and responsibilities as a patient or family member receiving care?
(Required.)
Yes
No
9.
If an incident occurred while you or a family member was being treated by emergency medical services, was it disclosed to you?
(Required.)
Yes
No
N/A
