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* 1. Please enter your incident number.

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* 2. How would you rate your experience with Miami County EMS.

  Poor Fair Good Excellent
How would you rate the response time of the ambulance
Professionalism and appearance of the EMS crew
The EMS crew's knowledge and understanding of your complaint
The quality of care provided
The concern shown for you and your needs
All procedures were explained in a way that was easy to understand
All procedures were performed to your satisfaction
The ambulance transport was to your hospital of choice
The ambulance and equipment was clean and orderly
Your satisfaction with the service you received
Your overall rating of our service and the care provided

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* 3. Is there anything that we could do better next time?

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* 4. Would you like to be contacted in reference to any questions or concerns related to your experience with Miami County EMS?

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* 5. If you would like to be contacted, please provide a name and a phone number where you can be reached and the best time of day to call.

Thank you. The information that you provide helps us improve our services to the community.

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