Company Survey
Empress Ambulance Service is committed to providing you with quality service.  Please take a few minutes to answer this survey so that we can serve you better. If you would like a representative to contact you, please provide your name and contact information. 

Quality Scale
1. Below Expectations 
2. Meets Expectations 
   3. Exceeds Expectations

Description / Identification of Survey Item

Scale

1.   Ease of booking transportation – During Business Hours (9am-5:00 pm)

Comments:

2.   Ease of booking transportation – After Business Hours (nights)

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3.   Ease of booking transportation – After Business Hours (weekends)

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4.   Availability of ambulance at requested time


Comments:

5.   Vehicle Appearance
 

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6.   Crew Appearance
 

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7.   Quality of patient care provided by crew

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8.   Professionalism of ambulance crew

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9.     Overall Experience
 

What do you like most about the service provided by Empress Ambulance? Least?

What would you like to see changed/improved about our service?

* Optional
What is the name of your facility/municipality?