Title Page
-
Document No.
-
medi4 Corporate Customer Satisfaction Survey
-
Facility / Site Name
-
Conducted on
-
Name of staff conducting survey
-
Location
SURVEY
-
medi4 is responsive to the needs of the hospital / facility
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 provide the resource you require / request?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 arrives promptly?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 ambulance crews are competent?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 ambulance crews are professional ?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 are easy to contact ?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 respond quickly to any complaints ?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 resolves complaints to your satisfaction ?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
medi4 would be my choice for Patient Transport in the future ?
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
- Not Applicable
-
Would you care to make any further comments ?
Details of Person consulted / completing survey
-
Name and Job Title ?
-
EMAIL Address.
-
Please sign . medi4 would like to Thank you for taking the time to complete this survey.
