Customer satisfaction survey

1. General Information (Optional)

Name:
Email:
Date of Transport:

Type of Transport Used:
---Adult ICUPediatric NeonatalInfectious DiseaseOther (please specify)
Other (if selected):

2. Overall Satisfaction *

How satisfied were you with your overall experience with AOM Air Ambulance?
---Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

3. Booking & Coordination *

How would you rate the ease and clarity of the booking process?
---ExcellentGoodFairPoor

Was our coordination team responsive and helpful?
---Yes, very helpfulSomewhat helpfulNo

Comments:

4. Medical Team & In-Flight Care *

How would you rate the professionalism and empathy of the medical team?
---ExcellentGoodFairPoor

Did the medical team clearly explain the procedure and care during the transfer?
---YesNoNot applicable

Comments:

5. Aircraft & Comfort *

Was the aircraft adequately equipped and comfortable for the patient’s condition?
---Yes, very comfortableAcceptableNot comfortable

Any observations or concerns:

6. Timeliness *

Was the mission conducted on time as expected?
---Yes, perfectly on timeSlight delaySignificant delayNo opinion

7. Post-Transfer Support *

Did you feel supported after the transfer was completed?
---YesSomewhatNo

Comments:

8. Overall Impression *

Would you recommend AOM Air Ambulance to others?
---Yes, definitelyMaybeNo