PATIENT SATISFACTION SURVEY

Aiken County Emergency Services is committed to providing the best quality of care to the citizens of our County during their time of need. In order that we may continue to provide the type of emergency care that you deserve we ask for your opinion and suggestions in the following survey. Thank you for taking the time to help us be the best that we can be for Aiken County.

Questions marked with a * are required.

1.	Name and Date of Service (Optional)

*2.

Was your experience due to a 911 call?

Yes

No

*3.

Were you pleased with your 911 communication?

Yes

No

Please Rate the following questions on a scale of 1-5 with (1) being Very Bad and (5) being Excellent:

*4.

How would you rate the ambulance response time?

1 2 3 4 5

Response Time

*5.

How would you rate the quality of medical care that you received?

1 2 3 4 5

Medical Care

*6.

Please rate the overall appearance and attitude of the attending medical personnel?

1 2 3 4 5

Overall Experience

7.	Finally, please suggest any changes that you feel should be made to improve our services and quality of care for Aiken County?