Emergency Medical Services Survey

We are interested in your opinion about the recent emergency medical assistance you received from the Lemont Fire Protection District. Please help us to improve our services by answering the questions below.

Question Title

* 1. How would you rate the manner in which your call for service was handled by our 911 call center?

Excellent

Above Average

Average

Below Average

Poor

Please provide us with an explanation if you feel you received service that was less than "average".

Question Title

* 2. How would you rate the following of our personnel:

	Excellent	Very Good	Good	Fair	Poor
The level of professionalism exhibited.	The level of professionalism exhibited. Excellent	The level of professionalism exhibited. Very Good	The level of professionalism exhibited. Good	The level of professionalism exhibited. Fair	The level of professionalism exhibited. Poor
The level of competence, courtesy and concern displayed.	The level of competence, courtesy and concern displayed. Excellent	The level of competence, courtesy and concern displayed. Very Good	The level of competence, courtesy and concern displayed. Good	The level of competence, courtesy and concern displayed. Fair	The level of competence, courtesy and concern displayed. Poor
The explanation of care/treatment.	The explanation of care/treatment. Excellent	The explanation of care/treatment. Very Good	The explanation of care/treatment. Good	The explanation of care/treatment. Fair	The explanation of care/treatment. Poor
Overall, how would you rate the care you received from us.	Overall, how would you rate the care you received from us. Excellent	Overall, how would you rate the care you received from us. Very Good	Overall, how would you rate the care you received from us. Good	Overall, how would you rate the care you received from us. Fair	Overall, how would you rate the care you received from us. Poor

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* 3. Did you have a need, related to your emergency, that you felt was not addressed by our personnel?

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* 4. Please tell us the single most important action we took that made you feel better.

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* 5. What could we have done differently that might have made your experience more positive?

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* 6. Any additional suggestions?

We welcome and encourage your recommendations and suggestions for improvement.

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* 7. Out of respect for our customer’s privacy, we would like you to remain anonymous. However, if you would like us to contact you regarding this survey or our services, please provide us with contact information below:

Name

Email Address

Phone Number