Metro West Quality Assurance Survey

Name: Run #

Please select the choice or choices that best describe your experience with Metro West in the following categories:

Dispatch Personnel
Quick Response
Courteous
Slow Response
Other

Emergency Ambulance
Arrived Quickly
Arrived Slowly

Ambulance And Equipment
Clean
Organized
Other

Prearranged Service - Stretcher Or Wheelchair
On-time
Delayed

Metro West Paramedics
Excellent
Good
Fair
Confident
Reassuring

Charges For Services Are
Less Than Expected
More Than Expected
But Worth It

Metro West Business Office
Questions Answered Satisfactorily
Insurance Billing Appreciated
Courteous
Other

I Would rate The Service As
Excellent
Good
Fair
Poor

Please use this space for additional comments or explanation of "Other" selections from above: