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Convalescent Transport Survey

Convalescent Transport Survey

Please complete the PCTS survey below to help us continue to improve our service. Use this scale in determining your response:

Scale:
1 = Strongly Disagree
2 = Disagree
3 = Neutral
4 = Agree
5 = Strongly Agree
Transfer From 
Run Number * 
Rate on a scale of 1 (worst) - 5 (best)
 
Professional interaction with dispatcher  Worst                                      Best
Timely arrival of transport crew or satisfactory
explanation provided if delay occurred. 
Worst                                      Best
Transport crew's appearance was neat and professional  Worst                                      Best
Transport crew introduced themselves  Worst                                      Best
Courteous/professional crew  Worst                                      Best
Transport crew displayed concern for patient's comfort and safety  Worst                                      Best
Transport crew was knowledgeable and skillful  Worst                                      Best
Rate on a scale of 1 (worst) - 10 (best)
 
Overall satisfaction 
1=Very Dissatisfied, 10=Very Satisfied
I would recommend this transport
service in the future.
 
1 = Would Not Recommend, 10 = Would Highly Recommend
Comments
 
If you have any comments or ideas on
how we can improve our service, then please
enter them in the space provided. We encourage your
participation and value your time and input.
 
You Contact Information (optional)
 
Name 
Email 
Phone 
Did you have a concern with this transport that
you would like to be contacted about.
 
* Required
 
2131 S. 17th Street, Wilmington, NC 28401  |  910.343.7000