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EMS Satisfaction Survey
If you recently received emergency medical care from the Hooksett Fire-Rescue Department Ambulance, please answer the following questions. As part of an ongoing improvement process, we would appreciate your feedback on our performance. Thank you for your time.
What was the date of the emergency?
What was the location of the emergency?
What was the type of emergency?
Medical/Illness
Trauma/Injury
Was the 9-1-1 dispatcher polite and helpful?
Yes
No
Don't Know
Did the ambulance and/or fire apparatus arrive quickly?
Yes
No
Don't Know
Were the personnel courteous and professional?
Yes
No
Don't Know
Did the personnel explain what they were doing and why?
Yes
No
Don't Know
Please rate your satisfaction with the care you received on a scale of 1 - 5
5 - Very Pleased
4 - Satisfied
3 - OK
2 - Not Satisfied
1 - No Opinion
How can we improve our services?
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All Rights Reserved
Hooksett Fire - Rescue Department - 15 Legends Drive - Hooksett, NH 03106
(603) 623-7272 (603) 626-6742 fax
INFORMATION
Updated December 8, 2011
