* 1. Did we arrive in a timely manner?

* 2. Did we explain the treatment(s) you received?

* 3. Were we able to relieve your discomfort and/or pain?

* 4. Were you treated in a respectful and professional manner?

* 5. Did the EMS crew have a professional appearance?

* 6. Explain question 5 if necessary

* 7. San Marcos Hays County EMS is exploring the possibility of offering additional health care services in your home. Which of the following would you be interested in?

  Yes No Maybe N/A
Follow up care after being seen at a hospital or by your doctor
Fall prevention
Medication administration and maintenance education
Disease education
New parent education
Alternative transportation

* 8. What other health care services could you suggest?

T