Quality of Service Survey

If you recently had an ambulance trip with us, please fill out the survey below to tell us how NWKSAS is doing!

Your Name (required)

Your Email (required)

What was your perception of your care providers?

ExcellentVery GoodGoodFairPoorVery Bad

Did the crew treat you and your family members with respect and listen to your concerns?

YesNo

Was your treatment up to your expectations?

YesNo

If you had pain during your transport, what was your pain before the ambulance arrived on a 1/10 scale?

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If you had pain during your transport, what was your pain after arriving at the hospital on a 1/10 scale?

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Is there any other feedback you would like to share about your experience with us?