Dear Client/Family Member,

Recently you or someone in your family used the services of Haliburton County Emergency Medical Services. In an effort to continually monitor quality assurance we would like you to please take a moment to complete the attached survey and return it to our office. With your assistance we can strive to make improvements to the services we provide to you and maintain the high standard which you expect from us.

Was the service provided to you in a timely manner?

Yes

Were our personnel professional and helpful?

Yes

Did the crew communicate the necessary information to the patient and to the family?

Yes

Were our personnel neat and tidy in appearance?

Yes

Were you satisfied with the care you received from our personnel?

Yes

Did you have confidence and trust in our personnel?

Yes

Who is filling out this survey?

Patient

Family

Other

What did we do well?

What can we do to serve you better and/or what services would you like to see implemented?

Do you have any questions, concerns or comments?

Would you like to be contacted from our Quality Assurance Department?

Yes

Thank you for taking the time to complete our survey, your input is very important to us.

Sincerely, David Dasti Deputy Chief, Quality Assurance and Education