Emergency Medical Service Evaluation
If you have used our EMS services, we will appreciate your feedback. Our goal is to provide quality service and your feedback is welcome.
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       Name of Patient/Residence

     Date of Service

     Medical Emergency

     How would you rate the response time of the EMT personnel that helped you?

       
 

     Was the crew friendly and courteous?

       
 

     Did the crew introduce themselves?

       
 
 

     How well did the EMT's explain the care you received and any unfamiliar procedures?

       
 
 

     How did you feel about the skill and the competency of the EMT's?

       
 

     What was your overall impression of your experience with the South Bay Fire Dept. EMT's?

       
 

 

Thank you for taking the time to complete and return this survey. Please feel free to add any additional comments below.

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