Client / Customer Aftercare Survey

Client / Customer Aftercare Survey

This survey is private and confidential.
Name*

First NameLast Name
Company Name
If Applicable
Email*
example@example.com
Phone Number

Area CodePhone Number
Client Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Requirement

MonthDayYear
Date
I booked Codeblue for:*

Event Medical CoverAmbulance Transport ServicesOther
Please can you describe your experience with Codeblue Medical*
How satisfied are you with the initial contact with Codeblue Medical?*

1

2

3

4

5

1 is Very Dissatisfied, 5 is Extremely Satisfied
How easy was it to make and confirm a booking with Codeblue Medical*

1

2

3

4

5

1 is Very Difficult, 5 is Extremely Easy
How satisfied are you with the quality of pre-event or pre-transport administration? (Such as Medical Plans, Risk Assessments and so on)*

1

2

3

4

5

1 is Very Dissatisfied, 5 is Extremely Satisfied
How satisfied are you with the Quality of Equipment / Vehicles Provided?*

1

2

3

4

5

1 is Very Dissatisfied, 5 is Extremely Satisfied
How satisfied are with the level, type and presentation of the staffing provided?*

1

2

3

4

5

1 is Very Dissatisfied, 5 is Extremely Satisfied
How well do you feel Codeblue Medical provided their services to you?*

1

2

3

4

5

1 is Below Expectations, 5 is Exceeded Expectations
Overall, how satisfied are you with your overall experience with Codeblue Medical today?*

1

2

3

4

5

1 is Very Dissatisfied, 5 is Extremely Satisfied
How likely are you to recommend our services to other organisations?*

1

2

3

4

5

1 is Very Unlikely, 5 is Very Likely
If you have any further comments to make, please let us know here:
Should be Empty: