Dear Patient or Family:

Recently, Community EMS treated and transported you or a member of your family as a result of an emergency. We hope you or your family member is recovering from the illness or injury. The staff at Community EMS is committed to providing excellent emergency medical services to all of our patients. Please take a moment of your time to answer these questions. Your feedback will assist us in continuously improving the quality of care and services we provide.

Sincerely,

Greg Beauchemin
President & CEO

* 1. When you called for service, the Dispatcher on the phone was courteous and helpful.

* 2. Community EMS arrived quickly to your emergency.

* 3. The Community EMS personnel acted in a compassionate and caring manner.

* 4. The Community EMS personnel were knowledgeable and competent.

* 5. The Community EMS personnel told me or a family member what they were doing and listened to me.

* 6. The Community EMS personnel were polite and respectful.

* 7. The Community EMS personnel were professional

* 8. The overall quality of care I received from Community EMS was excellent.

* 9. The overall actions of the Community EMS personnel caused my situation to:

* 10. Additional Comments

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