Piedmont Rescue Patient Satisfaction Survey

The staff at Piedmont Rescue is committed to providing excellent emergency medical services to all of our patients. By taking a moment of your time to answer the following questions, you will assist us in improving the quality of care and services we provide.

* 1. How would you rate the response time of Piedmont Rescue?

* 2. How would you rate the appearance and professionalism of the crew?

* 3. How would you rate the paramedics ability to explain the care and interventions they were providing?

* 4. How would you rate the crews response to your needs?

* 5. How would you rate the crews interaction with your family and/or friends?

* 6. How would you rate the possibility of requesting our services again in the future?

* 7. How would you rate your overall expierence with Piedmont Rescue?

* 8. Explanations and/or additional comments:

* 9. Date of Service:

* 10. Patient Name: (optional)

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