Satisfaction Survey Home / Satisfaction Survey Thank you for taking the time to complete our brief survey.Your participation will allow us to monitor and tailor our service to improve our delivery of world-class medical care to our residents. Please provide the name of the patient and the date of the encounter:If you recall who was a part of your care team, please include their names here:Were you a: Patient Family Member Caregiver Other Please rate the helpfulness of the person you spoke to when calling for an ambulance Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate how well the person who took you 911 call informed you about what to do until the ambulance arrived Outstanding Exceeded Expectations Met Expectations Improvement Needed In your opinion, how was the ambulance's response time? Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the cleanliness of the ambulance Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate to the extent you felt safe and secure during transport Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the care shown by the medics who responded Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the degree to which the medics took your problem seriously Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the degree to which the medics listened to you and/or your family Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the skill of the medics Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the extent of which the medics kept you informed about your treatment Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the extent of which you were included in your treatment decisions Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the degree to which the medics relieved your pain or discomfort Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the medics concern for your privacy Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the extent to which the medics treated you with respect Outstanding Exceeded Expectations Met Expectations Improvement Needed How well did our staff work together to care for you? Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the extent to which our staff eased your entry into the medical facility Outstanding Exceeded Expectations Met Expectations Improvement Needed Please rate the appropriateness of the care you recieved Outstanding Exceeded Expectations Met Expectations Improvement Needed Overall rating for the care provided by Brighton Volunteer Ambulance Outstanding Exceeded Expectations Met Expectations Improvement Needed What is the most important thing that stood out to you and/or your family?If you would like to specifically call attention to our crew for excellent service, please use this box.Do you have any comments on what we can do differently or better, to better serve you?Were you asked to sign a Rochester Health Information Exchange (RHIO) form, and did you understand why? Yes No Unsure Were you provided a copy of our Notice of Privacy Practices? Yes No Unsure Do we have permission to contact you for more information? Yes No Name First Last PhoneEmail Thank you for taking the time to complete our survey. We value your feedback.CAPTCHA