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Date of Flight
Referring Facility
Did you use Survival Flight's direct to Dispatch 1-800-822-2233 number to arrange the transport?
Yes
No
Please rate the following questions: Was the Flight crew professional and courteous in their interactions with the staff?
Excellent
Very Good
Good
Fair
Poor
Did the flight crew treat your patient with dignity and respect?
excellent
Very Good
Good
Fair
Poor
Were you confident that the level of care you initiated would be maintained throughout the transport?
Yes
No
Was there one thing our team did well?
Survival Flight is committed to excellence in customer service and patient care.
Please feel to offer any suggestions as to how we can improve our service.
Thank you for taking the time to complete this brief survey. If we can be of any assistance to you at any time, please feel free to call us at 1-800-822-2233
If you would like to be contacted regarding this transport, please leave your name and phone number.
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