Caroline & District Volunteer Ambulance Patient Satisfaction Survey
Thank you for taking the time to complete Caroline Ambulance's Patient Satisfaction Survey.

We value your input and will use the results of these Surveys to improve the quality of care our patients and their families receive.

All information we receive will be held in the strictest of confidence.

If you would like to further discuss your Survey or the care you received from our Service, please feel free to contact our office at 403-722-3970 or admin@carolineambulance.ca

Please Rate your experience with Caroline Ambulance. For each statement please mark the answer that corresponds to the level of care you received. If a question does not apply, please mark N/A. *
Strongly Agree / Excellent
Agree / Good
Disagree / Fair
Strongly Disagree / Poor
N /A or Neither Agree nor Disagree
The Ambulance arrive in a timely manner
EMS Personnel treated you with courtesy and respect
EMS Personnel were compassionate
EMS Personnel's concern for your privacy
EMS Personnel showed concern for your needs, questions or worries
EMS Personnel showed concern for the needs of your family / friends
EMS Personnel's knowledge of your complaint
Quality of care provided for EMS Personnel
EMS Personnel kept you informed about your care / treatment
Skill of the EMS Personnel driving the Ambulance
Professionalism and appearance of EMS Personnel
Cleanliness of the Ambulance and Equipment
EMS Personnel's Hand-Hygiene compliance
Your overall satisfaction with the service you received from Caroline Ambulance
Please offer any additional comments, suggestions, or concerns you may have:
Your answer
If any members of our Staff were especially helpful, please let us know as we would like to show them our appreciation.
Your answer
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