Bethel Community Ambulance

Customer Satisfaction Survey

Please take a few minutes to fill out this brief survey so that we may improve our service to the community. We appreciate any and all feedback. Please use the following scale.

Date of Service: 

0 - N/A | 1 - Poor | 2 - Fair | 3 - Average | 4 - Good | 5 - Excellent

1. The crew was courteous and professional.

2. The ambulance and gear was clean.

3. My family was treated with respect.

4. I was treated with dignity and respect.

5. I was made to feel that the crew cared about me.

Please add any additional comments or concerns you may have below: