Please complete the entire form. Please note, if the information you provide is incomplete or EMS has questions about your request, we may not be able to fully investigate if we cannot contact you.
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Was the patient treated with courtesy? *
Was the patient treated professionally? *
Did the patient receive knowledgeable assistance? *
Was the assistance clear and understandable? *
Was the response time? *
What is the overall rating of the service received? *
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