Patient Care Survey

How are we doing? Please take a few minutes to fill out this survey on the timeliness and quality of the service you received.

When calling 911 for emergency medical care, was the dispatcher calm, polite and helpful?

OutstandingGoodNeeds ImprovementPoor

Did our staff arrive to you in a timely manner?

YesNo

Was our staff calm, polite and helpful?

OutstandingGoodNeeds ImprovementPoor

Did our treatment help your condition?

YesNo

How would you rate the competence of the staff that treated you?

OutstandingGoodNeeds ImprovementPoor

How would you characterize the demeanor of our staff?

Please list any areas in which our service could be improved.

Please share any additional comments.

If you would like us to contact you regarding the results of this survey, please include your name, phone number and the best time to contact you below.

The Wolcott Volunteer Ambulance Association welcomes your feedback and your answers will be kept confidential. Thank you for your participation.