Survey

3) Overall rating of the ambulance service:

1

2

3

4

5

4) How would you describe the overall cleanliness of the ambulance:

1

2

3

4

5

5a.) Provided care in a courteous and respectful manner:

1

2

3

4

5

5b) Explained all medical procedures:

1

2

3

4

5

5c) Was professional and knowledgeable:

1

2

3

4

5

6a) I was made comfortable:

1

2

3

4

5

6b) I felt safe:

1

2

3

4

5

7) How would you rate the response time from when call was placed to the arrival of ambulance:

1

2

3

4

5

8) Did you receive a bill for services?

No

Yes

9) Was your insurance carrier billed for service provided?

No

Yes

10) Do you feel the charges were fair for the service provided?

No

Yes

11) Would you recommend this ambulance service to a friend or family?

No

Yes

12) Have you ever visited the Torrington EMS website? (www.torringtonems.org)

No

Yes

12a) If “no” to above question, is it because you do not know website address?

No

Yes

12b) Is it due to not having internet access?

No

Yes

15) Would you like to be contacted by the EMS Director about any of your responses in this survey?

No

Yes

City of Torrington Emergency Medical Services Survey