* 1. Please enter the mission code from the card given to you by the AirLife crew.

* 2. Overall, how satisfied are you with the services provided by AirLife on this patient transport?

* 3. Did the flight team meet your time expectations?

* 4. Did you feel that the flight team was courteous and professional?

* 5. How Satisfied are you with the process of activating AirLife for transport?

* 6. How satisfied are you with the patient care provided by AirLife on this patient transport?

* 7. Do you have any additonal comments or suggestions?

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