Skamania County EMS - Ambulance Service Survey
In an effort to provide you the best possible service we ask you to please complete this survey. At the conclusion of the survey, please click the SUBMIT button or simply log off.

We thank you in advance for your valuable time and feedback in completing this survey. Should you have any questions in regards to completion of this survey, please feel free to call us at 509.427.5065

A note about our survey rating scale: 1 = Excellent and 5 = Poor. Please choose any applicable range in between.

What date and approximate time was the service provided? *
MM
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DD
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Time
:
How would you rate the courteousness and professionalism of the ambulance staff?
Excellent
Poor
How would you rate the ambulance staff's medical knowledge and skill?
Excellent
Poor
How well did the ambulance staff manage any discomfort or pain you were experiencing?
Excellent
Poor
How well did the ambulance staff explain any treatments or procedures to be performed?
Excellent
Poor
How would you rate the appearance of the ambulance staff?
Excellent
Poor
How would you rate the cleanliness of the ambulance?
Excellent
Poor
Did the ambulance arrive promptly?
Were you taken to the hospital of your choice?
If not, were you offered an explanation on why this was not possible?
Was the ride to the hospital a comfortable one?
Please add any comments or questions you may have here:
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Your Name (Optional)
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Your Phone Number (Optional)
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Your Email (Optional)
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