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Ambulance System Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Have you ever used an ambulance service?
Please select yes or no
Yes
No
2
How would you rate the response time of the ambulance service?
Rate the response time on a scale from 1 to 10
3
What improvements do you suggest for the ambulance system?
Please provide your suggestions in detail
4
How satisfied are you with the professionalism of the ambulance crew?
Rate the professionalism on a scale from 1 to 10
5
Which emergency service do you contact first in case of an emergency?
Please select the relevant option
Ambulance
Fire Department
Police
Other
6
Do you think there should be more awareness campaigns about when to call an ambulance?
Please select yes or no
Yes
No
7
Are you aware of the nearest ambulance station to your location?
Please select yes or no
Yes
No
8
How likely are you to recommend the ambulance service to others?
Rate your likelihood on a scale from 1 to 10
9
Have you ever witnessed an ambulance being stuck in traffic? If yes, please describe the situation.
Please provide details if applicable
10
What is the most important factor for you when evaluating ambulance services?
Select the most important factor
Response Time
Medical Equipment
Professionalism
Cost
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