Madison County Emergency Medical District

Patient Satisfaction Survey

Madison County EMD highly values public opinion and encourages the citizens and visitors of our District to offer recommendations on ways in which we can enhance our service delivery. Additionally, Madison County EMD welcomes commendations as well as concerns regarding the performance of our personnel. Members of the public can provide feedback by completing the Patient Satisfaction Survey, emailing the Public Outreach Coordinator at thull@madisoncountyemd.org, or by calling (740) 852-5390.

Patient Name:
Street address Madison County EMS responded to:
Number of times you (or someone else on your behalf) called 911 in the past 12 months:
Professionalism/appearance of EMS personnel:
EMS personnel's knowledge of your complaint:
Quality of care provided by EMS:
Concern EMS personnel showed for your questions or worries:
Concern EMS showed for the needs of your family/friends:
Degree to which EMS personnel explained the procedures they performed in a manner that you could understand:
Cleanlieness of the ambulance and equipment:
Overall satisfaction with the service you received from Madison County EMS:
How can we improve our services?
If any of our personnel went above and beyond your expectations, please indicate below:
Comments, Questions and Concerns:
Would you like to be contacted abour your survey?
If you would like to be contacted, please list your phone number:
Would you like your survey to remain anonymous?
Who completed this survey?
Submit survey

Thank your for completing a Patient Satisfaction Survey. We appreciate your feedback.

If you indicated that you would like to be contacted regarding your survey, please allow up to 6 business days.

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Madison County Emergency Medical District

Proudly Serving Our Community Since 1981

Patient Satisfaction Survey