Thank you for helping us to improve our services. Your responses will remain confidential.
Your feedback is valuable to us. It helps us continuously improve the quality of our support and air medical transport services.
This questionnaire takes approximately 3 minutes.
You are: —Please choose an option—The patientA family member / relativeAn accompanying personA healthcare professionalA representative of an organizationOther
Full name
Company / organization (optional)
Transport date
Departure city / country
Arrival city / country
Type of transport —Please choose an option—Medical evacuationMedical transferMedical repatriationMedically supervised transportOther
How did you hear about AOM Air Ambulance? —Please choose an option—RecommendationHealthcare facilityHealthcare professionalInternet searchPartner / agencyOther
Aircraft used —Please choose an option—Hawker 800XPLearjet 45CL604
How would you rate the different aspects of your experience?
Speed of handling your request 12345
Clarity of the information provided 12345
Availability and responsiveness of our team 12345
Organization and coordination of the transport 12345
Professionalism of our team 12345
Quality of support before and during the transport 12345
1 = Very dissatisfied 5 = Excellent
Professionalism and competence of the team 12345
Respect, courtesy and care 12345
Quality of communication with the patient / accompanying person 12345
Feeling of safety and confidence 12345
Comfort during the transport 12345
Overall, how satisfied are you with your experience with AOM Air Ambulance?
Very dissatisfiedDissatisfiedNeutralSatisfiedVery satisfied
On a scale of 0 to 10, how likely are you to recommend AOM Air Ambulance?
012345678910
0 = Not at all likely | 10 = Extremely likely
What did you particularly appreciate?
What could we improve?
Would you like to share any other comments?
If you would like to discuss your experience with a member of our team, you can leave your contact details below.
Email
Phone
Yes, I would like to be contacted
I have read and accept the personal data processing policy , in particular the provisions relating to the protection of personal data.In accordance with Law 09-08, you have the right to access, rectify, and object to the processing of your personal data.
