Pafford AirOne Customer Survey
Part of the "Pafford Promise" is receiving feedback from our healthcare partners to improve clinical acumen and processes.
Facility/Agency Requesting AirOne
Your answer
Date AirOne was utilized
MM
/
DD
/
YYYY
What is your name?
Your answer
How many we contact you? (direct # or e-mail address please)
Your answer
Brief Call/Scene Description
Your answer
Was the communications specialist courteous and helpful?
Poor
Excellent
Did the helicopter respond in a reasonable amount of time?
Poor
Excellent
Was the flight crew helpful and courteous?
Poor
Excellent
Was our medical treatment appropriate for the patient?
Poor
Excellent
Overall impression of the service Pafford Airone provides?
Poor
Excellent
Please list any other recommendations of comments you have to improve our service:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Pafford Air One. Report Abuse - Terms of Service