Patient Satisfaction Survey
Thank you for taking the time to complete the Plum EMS Patient Satisfaction Survey.  We value your input and are extremely interested in learning more about your experience with Plum EMS.  The Patient Satisfaction Survey should take approximately five minutes to complete.  
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Plum EMS - "In Partnership with the Community"
Contact Information (Optional)
Date of Service
MM
/
DD
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YYYY
Courtesy of the 911 Call Taker (please skip if N/A)
Poor
Excellent
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EMS response time
Poor
Excellent
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Professionalism of Plum EMS personnel (please skip if N/A)
Poor
Excellent
Clear selection
Quality of care provided by Plum EMS personnel (please skip if N/A)
Poor
Excellent
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Level of concern Plum EMS showed for your questions and concerns (please skip if N/A)
Poor
Excellent
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Level of concern Plum EMS personnel showed for the needs of your family and friends (please skip if N/A)
Poor
Excellent
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Degree to which Plum EMS personnel explained the procedures they performed in a manner that you could understand (please skip if N/A)
Poor
Excellent
Clear selection
Overall satisfaction with the service you received from Plum EMS
Poor
Excellent
Clear selection
Please offer any additional comments in the space provided.
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