Patient Satisfaction Form

In an effort to further improve our services, St. Matthews Fire & Rescue has created a customer satisfaction survey to learn how we can better serve the citizens of St. Matthews. If you have recently received service from St. Matthews Fire & Rescue, please take a moment to fill out the survey below. If you wish to be contacted by St. Matthews Fire & Rescue regarding your comments on the survey, please include your contact information in the comments section at the bottom of the page. Survey results are monitored on a weekly basis. If your need is immediate, please contact St. Matthews Fire & Rescue by phone or email.

Was St. Matthews Fire & EMS timely?

Excellent Good Fair Poor

Was the crew that responded to your emergency helpful & courteous?

Very Somewhat Average Not Very Not At All

Were you taken to the hospital of your choice?

Yes No

Was the reason explained to you why you were no taken to the hospital of your choice?

Yes No

Was the care or help you received appropriate?

Very Somewhat Not Very Not At All

How would you rate your overall satisfaction with the service you received from St. Matthews Fire & Rescue?

Completely Satisfied Somewhat Satisfied Not Very Satisfied Not Satisfied At All

How Can We Improve Our Quality of Service?

Would you like to be contacted regarding your experience with St. Matthews Fire and Rescue?

Yes No

Please provide your name:

First Name Last Name

Please provide your E-mail:

example@example.com

Mailing Address:

St. Matthews Fire & EMS

240 Sears Avenue

Louisville, KY 40207

Office Fax# 502-896-6555

Patient Satisfaction Survey