Questionnaire Ambulance Service

Ambulance questionnaire Complete the form

Here at Neuromed, we want to permanently better the ambulance service, in order to be able to provide various ways of meeting our patients’ needs. This is why we are asking you to give us a little of your time and fill this form up. An honest answer can turn into a major change!

How old are you ? (years)*

Sex M/F*

1. You found out about the Neuromed Ambulance Services from :*

2. Do you find our dispatcher's way of answering your telephonic calls as being :*

3. The time period between the medical assistance request and its accomplishment :*

4. How do you find our medical/paramedical staff's level of amiability in the relationship with patients ?*

5. How do you find our ambulance driver's behavior in traffic:*

6. How do you appreciate the equipment and cleanliness of Neuromed ambulances ?*

7. Are you satisfied with our conditions ?

- the competence of the home consulations crew

the posibility of recognizing the staff through their name tags*

- the staff's uniform*

- the quality of the medical act*

8. How do you find the Neuromed Ambulance services in comparasion with other similar services offered by other private or govermmental organizations ?*

9. Which aspects of the Neuromed Ambulance Service's perfoemance didn't meet your request ?*

10. What suggestions do you have for making our emergency home medical assistance service and our medical transport better ?*

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