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Hello, thank you for participating in our customer service survey.   We appreciate you taking the time to let us know how we are doing so that we may better serve you.   Recently we transported _________ via ambulance/wheelchair van and we just have a short questionnaire to go through with you.   Are you free to do that right now?
 
 
 
If you were not the person transported by American Heritage, are you authorized to speak on the patient's behalf?
 
YES
 
NO
 
 
 
What was the number on the call?
 
ANSWER:
 
 
 
Did our team display a professional attitude and manner?
 
YES
 
NO
 
 
 
Was our team attentive to your personal needs?
 
YES
 
NO
 
 
 
Were your needs met in a quick and timely manner?
 
YES
 
NO
 
 
 
Did the Dispatcher staff handle your call in a Professional manner?
 
YES
 
No
 
 
 
Was our Billing staff professional, courteous and helpful?
 
YES
 
NO
 
 
 
What suggestions would you offer that would improve our Company?
 
REMARKS:
 
 
 
1.  Was our team courteous and neat in appearance?
 
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