NHTSA 2014 Re-Assessment- your opportunity to provide feedback

Question Title

* 1. What is your name?

Question Title

* 2. What is your occupation or connection to the EMS Re-assessment program? Can choose more than one answer

Emergency Medical Technician 1

Emergency Medical Technician 2

Emergency Medical Technician 3

Mobile Intensive Care Paramedic

National Registry EMS Provider

EMS Instructor

EMS Administrator

Fire Department Represenative

Police Department

Military

Civilian

Citizen of Alaska

Other (please specify)

Question Title

* 3. What comments would you like to provide regarding the Emergency Medical System in Alaska? You can cut or paste into this box also.

Question Title

* 4. What method of interaction with the EMS Re-Assessment Team from NHTSA are you likely to use? They will be in Anchorage on May 13, 14, and 15th.

In person

Teleconference (Audio)

Video Conference

Written

Survey

Other (please specify)

Thank you for participating in this survey. Your comments will go to both the EMS office and the NHTSA Re-Assessment team. Please contact Mark Miller the EMS Unit manager at mark.miller@alaska.gov if any further concerns.