Injury Care Emergency Medical Services
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208-914-3846
/
855-492-9941
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Customer Survey
Thank you for using Injury Care EMS. We are always trying to improve. Please help us by completing this survey.
Date of Transport
*
Month
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Day
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Year
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Time of Transport
*
HH
:
MM
AM
PM
Timeliness
*
The transport was on time and arrived as promised.
Yes
No
Type of Transport
*
Ambulance
Non-Medical wheelchair
Non-Medical gurney
Courtesy and Professionalism
*
Your interaction with our team was up to our high standards.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Patient Care
*
The care our team provided your patient was of the highest standards.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Appearance
*
Our crew looked neat and professional.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Name
*
First
Last
Facility
Email
*
Phone
Comments / Questions / Concerns
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