EMS Patient Satisfaction Survey

Karnes County EMS is conducting this confidential survey to evaluate our ambulance and paramedic service. Your feedback is important and valuable in helping us provide the best pre-hospital emergency care for you and your loved ones. The information you provide is confidential and will only be used internally by KCEMS administration. Thank you for your time. 

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* 1. Please tell us the date of your emergency?

Date / Time

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* 2. Are you the patient?

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* 3. Please rate EMS crew on the following attributes. 

  POOR FAIR GOOD EXCELLENT
Professionalism 
Friendly / Courteous
Concerned / Caring
Knowledgeable / Skilled

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* 4. Did our EMS crew listen to what you had to say?

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* 5. Did our EMS crew explain what they were doing?

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* 6. Did you feel confident in the care you received? 

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* 7. Would you like for someone from Karnes County EMS to contact you in response to possible concerns you've mentioned in this survey?

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