Quality of Service Survey
If you have recently requested Lincoln EMS for an emergency, please let us know about your experience (good or bad). Your comments will help us in evaluating and improving the services we provide.
Section 1
Basic details of the call
Date of the Emergency
-
Month
-
Day
Year
Date
Approximate Time of the Emergency
Hour Minutes
AM
PM
AM/PM Option
Physical Address of the Emergency
What was the nature of the call?
Section 2
What did you think of the service provided?
Emergency Crew
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Overall, how satisfied were you with the services provided at the emergency scene.
Crews arrived in a timely manner
Appearance of crew
Courteousness & Professionalism of crew
Crew kept you informed of their progress or actions while performing their duties.
Section 3
Would you like us to contact you to follow up?
Your Name
First Name
Last Name
Your phone number
Please enter a valid phone number.
Email
example@example.com
Lincoln Emergency Services works hard to provide the best care possible at your time of need. Is there anything else you would like us to know about your experience?
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