Event Medical Services

Telephone: 01535 670 648 Email: info@eventmedic.co.uk

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Patient Feedback Form

At EMS Ambulance we pride ourselves on providing a high standard of patient care.
Your thoughts and feedback are extremely important to us and we take all feedback seriously.
If you have used our Patient Transport Service, completing this small questionaire wouls really be appreciated.

Who are you completing this questionaire on behalf of ?
Yourself
Your Child
Spouse / Partner
Other relative
Friend
Other

Were you treated with dignity and respect by the ambulance crew ?
Strongly agree
Agree
Disagree

Did the ambulance crew explain what they were doing ?
Strongly agree
Agree
Disagree

If you asked a question, was it answered to your satisfaction ?
Strongly agree
Agree
Disagree
Not applicable

Were the ambulance crew helpful, polite and efficient ?
Strongly agree
Agree
Disagree

Did you have confidence and trust in the ambulance crew ?
Strongly agree
Agree
Disagree

Please rate your overall experience of EMS Ambulance
Excellent
Very Good
Good
Fair
Poor

Where were you picked up ? (Optional)

Where were you dropped-off ? (Optional)

Do you have any comments suggestions (Optional)

Name (Optional)

Telephone (Optional)

Email (Optional)

Would you like EMS Ambulance to contact you regarding your experience ?
Yes please
No thank you

Feedback version 1.1 (November 2018)

Contact Us

You can contact Event Medical Services in the following ways:

Our postal address is

Event Medical Services
Unit 3
Marton Mills
Sawley Street
Skipton
BD23 1SX

Tel: 01535 670 648
Fax: 0844 3350582

Email: info@eventmedic.co.uk

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