Marion County Ambulance Satisfaction SurveyPatient Number (required)Date of Call (required)Please rate the severity of your pain/problem when the Paramedics first arrived. (required)012345678910Please rate the severity of your pain/problem when you arrived at the Emergency Room. (required)012345678910The Paramedic crew acted in a compassionate and caring manner: (required)OutstandingExcellentAverageFairPoorThe Paramedic crew presented themselves professionally: (required)OutstandingExcellentAverageFairPoorThe Paramedic crew clearly explained the care and procedures they were providing and responded to questions: (required)OutstandingExcellentAverageFairPoorThe paramedic crew was thorough in their examination of your problem: (required)OutstandingExcellentAverageFairPoorHow well did the crew work together to care for you: (required)OutstandingExcellentAverageFairPoorHow would you rate the quality of care provided: (required)OutstandingExcellentAverageFairPoorWas the ambulance ride comfortable and the unit clean: (if not please explain below) (required)OutstandingExcellentAverageFairPoorIf you were not completly satisfied with the cleanliness or ride of the ambulance please use the space provided below to explain: (required)Do you feel you received great service for your value: (required)OutstandingExcellentAverageFairPoorPlease comment on your overall expierience with Marion County Ambulance District: (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.