First Call Ambulance Customer Service Survey

Thank you for completing this short survey on your experience!

Dear Customer,

I would like to personally thank you for allowing First Call Ambulance the opportunity to provide for your medical and transportation needs. First Call Ambulance has a continuous goal to improve our quality of service. Your comments and suggestions are important for us to achieve this goal.

So that we may provide you and your community better service in the future, please take a few minutes to complete this survey and return it with your payment or insurance information. If you would prefer to discuss our service in person, please list your name and phone number in the form below. Again, thank you!
1.I would rate First Call's overall service as?
Poor
Fair
Good
Very Good
Excellent
2.The field crew was professional, courteous, and neat in appearance?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
3.The field crew introduced themselves and the company?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
4.The field crew was attentive to my personal needs?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5.The ambulance or wheelchair unit was clean and in good order?
Strongly Disagree
Disagree
Neutral
Agree
Stronglys Agree
6.The ambulance or wheelchair environment was comfortable?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7.The Communications staff (Dispatcher), was professional, courteous, and helpful?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
8.The Billing Department staff was professional, courteous, and helpful?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
9.I would use First Call for my medical or transport needs in the future?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
10.The overall service provided met your expectations?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
11.Please provide any additional comments or feedback on your experience with First Call.
12.Please provide your name.
13.Please provide your run number (on your invoice if available).
14.What city did your service originate in?
15.Would you like to be contacted about your comments on this form?
16.If you would like to be contacted, please provide a phone number, email or other preferred method of contact.