Exit this survey Patient/Family Survey Question Title * 1. I was transported by: Life Flight (helicopter) Mobile Life (ambulance) Question Title * 2. I was transported from: Another hospital The accident scene Put In Bay or Kelleys Island Question Title * 3. Date and approximate time of transport: Question Title * 4. How satisfied were you that you or your family member was treated safely with dignity and compassion? Very satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Question Title * 5. Overall, how satisfied were you with the medical care provided by the transport crew? Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Question Title * 6. How satisfied were you that the transport crew prepared you and your family for transport and answered all of your questions? Very satisfied, answered all questions Satisfied, most questions answered Neutral Dissatisfied, did not answer questions satisfactorily Very dissatisfied, did not answer questions Question Title * 7. The transport crew was emotionally and spiritually supportive to me and my family? Strongly agree Agree Neutral Disagree Strongly disagree Question Title * 8. I would recommend Life Flight or Mobile Life to my family and friends if they were in need of high acuity medical transportation? Strongly agree Agree Neutral Disagree Strongly disagree Question Title * 9. The best thing about my transport was: The medical expertise of the crew The kindness of the crew The speed of my transport I don't remember my transport Other (please specify) Question Title * 10. I would like a member of the Life Flight/Mobile Life leadership team to contact me: Yes, I will enter my name and email address or phone number below No, thank you Please enter name and contact information here Done
