Tell Us How We Did!
Patient Feedback Survey

We want your valuable feedback and comments. We are committed to listening to patients, relatives, carers and members of the public and will act on their views and experience to improve our service and procedures.

1. Thinking about the service we provided recently, how was your experience of our service?

Very Good Good Poor Very Poor Neither Good nor Poor

2. What was the reason for your recent journey?

Transfer to another Hospital Outpatient Appt Discharge from Hospital Other

3. Was the equipment used to transport you suitable for your needs ?

Yes No

4. Who normally books your ambulance transport?

Doctor (GP) Yourself Hospital Carer/Relative/Friend

5. If you booked the transport yourself, did you find it easy to do?

Yes No N/A I did not book it myself

6. When the crew arrived, did they introduce themselves, ask your name and make you feel at ease?

Yes No

What was their name?

7. Was the vehicle clean and tidy?

Yes No

8. Was the vehicle driven carefully?

Yes No

9. Did the crew make you feel safe and secure throughout your journey?

Yes No

10. Were you treated with kindness, dignity and respect at all times by our colleagues?

Yes No

Do you have any comments regarding our staff ?

Immediate Care Medical 48 Eyre Street Birmingham B18 7AA

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Tell Us How We Did! Patient Feedback Survey

Tell Us How We Did!
Patient Feedback Survey