Johnson County Ambulance

Customer Satisfaction Survey

Date of Service     [None] Select a Date Delete the Date


Time of Service  (If known) 


Was this your the first time using Johnson County Ambulance (JCAS)?

     

What is the patient's age group?

     

Did JCAS arrive in a timely manner?

     

     Comments


Were the JCAS Paramedics that assisted you?

 

     Comments

 

How satisfied with the medical care you received?

     

     Comments


How comfortable was the ambulance ride?

 


     Comment
s


Did the JCAS Paramedics listen to and address all of you and your family’s concerns?

    

       Comments

Overall how would you say you and your family were treated by JCAS Paramedics?

     

     Comments


Do you have any questions, comments or concerns regarding your experience with JCAS?


Would you like someone from JCAS to contact you about your experience?