Please take a few minutes to participate in the Office of EMS & Trauma Systems Coordination EMS survey. This survey will allow for greater situational awareness regarding the challenges Hurricane Harvey and its aftermath may have posed (or is still currently posing) to your entity’s ability to provide service.  As needed, the office may follow-up next week with an additional brief survey.

* Entity Name

* DSHS License Number

* Name of person responding to the survey

* Contact email

* Contact phone

* Is your entity open?

* How many of your ambulances are currently operational (Please answer # out of total)?

* Were vehicles or equipment destroyed or damaged due to Hurricane Harvey?

* If so, please describe

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