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)
3. Ease of booking transportation – After Business Hours (weekends)
4. Availability of ambulance at requested time
5. Vehicle Appearance
6. Crew Appearance
7. Quality of patient care provided by crew
8. Professionalism of ambulance crew
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?
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?