The focus of Tri-State Ambulance is to continually provide the communities we serve with the highest level of medical care.  This is not an easy task to accomplish and we greatly value feedback from not only those individuals who have utilized our services, but anyone who would like to assist us in improving our EMS services.

1. Call number (if available)
2. Date (mm/dd/yyyy)
3. Location of call (if no call number)
4. Name(s) of ambulance crew
5. The ambulance arrived promptly
6. Yes No
7. The crew was compassionate and courteous
8. Yes No
9. The crew was competent and professional
10. Yes No
11. The ambulance was clean and orderly
12. Yes No
13. Overall rating of the service provided to me by Tri-State Ambulance
14. Excellent Good Fair Poor
15. What can Tri-State Ambulance do to improve service?

 

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