Site Navigation
SouthPark Mall Walkers
September 07, 2010
Lupus Support Group: Fact, Fiction and Hope
September 09, 2010
Stepping Forward: Cancer Wellness Program
September 14, 2010
[View All]
Carolinas Medical Center : Survey Maker MedCenter Air Customer Satisfaction Survey
Survey Maker MedCenter Air Customer Satisfaction Survey

MedCenter Air Customer Satisfaction Survey

Customer Satisfaction Survey

* Indicates required information

Please provide the following information to help us best serve you.

First Name
Last Name
Email
Organization
Department
Street
City
State
Zip
Country
Phone
1. *
Please select your job title from the list below.
2. *
Request Number (if given) or Date of Transport
3. *
Did you arrange this transport with MedCenter Air?
 
 
4. *
If you arranged the transport and it was not excellent, please provide a detailed explanation on how we can improve our service.
5. *
When choosing a medical transport team, how did you determine you would call MedCenter Air?
6. *
Would you like to receive information on your patient after MedCenter Air has transported them?
 
 
7. *
If you would like to receive information on your patient from MedCenter Air, what information would like to receive?
 
 
 
 
 

If Other, please specify:
8. *
How would you like to receive your patient follow-up information?
9. *
How would you rate MedCenter Air's quality of care given to the patient?
10. *
Please rate how MedCenter Air's team showed respect:
11. *
Please rate how MedCenter Air's team communicates effectively:
12. *
Please rate how MedCenter Air's Crew demonstrates teamwork with your team:
13. *
Please rate how MedCenter Air's crew demonstrates a helpful and courteous attitude:
14. *
How do you rate your overall experience with MedCenter Air?
15. *
How likely are you to use MedCenter Air again for your critical care transport needs?
16. *
If you are not sure or you will not be calling MedCenter Air back for your transport needs in the future, please explain why?
17. *
MedCenter Air greatly appreciates your feedback; if we did not provide excellent service please help us improve to maintain excellence.
 

Maps and Directions   |   Contact Us   |   For Employees   |   Notice of Privacy Practices   |   Patient Bill of Rights
704-355-2000    1000 Blythe Blvd.    Charlotte  NC    28203    •    © 2010 Carolinas HealthCare System