Request edit access
Customer Satisfaction Survey

At Camden County EMS, we are committed to delivering exceptional medical services. 

Our goal is to provide you with the best possible care, and your feedback is vital to achieving this. By sharing your experiences through this survey, you contribute to our continuous quality improvement program. We use these valuable insights to refine our services, enhance our clinical practices, and meet and exceed your expectations.

Your candid responses enable us to measure our performance, identify areas for improvement, and ultimately enhance the care we provide to all our patients. We appreciate your time and honesty in completing this survey, as it empowers us to serve you and the community better.

Thank you for choosing Camden County EMS, where your well-being and satisfaction are our unwavering priorities.

Sign in to Google to save your progress. Learn more
Promptness with which the ambulance responded? *
Cleanliness of the ambulance and equipment? *
Courtesy and respectfulness of the EMS crew? *
Courteous and respectful? Please provide details if you can.
Degree to which the crew took your problem seriously? *
Degree to which the crew kept you informed?  *
How would you rate the technical skill of the crew? *
How would you rate the knowledge of the crew?  *
How would you rate the crew's Professionalism? *
How was your pain treated? *
How were any other symptoms treated? *
Quality for service provided? *
Quality of crew members? *
What could we do to improve our service?
Were there any particular aspects of the service provided by Camden County EMS that stood out to you, either positively or negatively?
Comments:
Date of Transport or 911 response:
MM
/
DD
/
YYYY
Location of pickup or interaction:
First Name:
Last Name:
Phone Number:
Would you like to be contacted by a supervisor?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report