Patient & Visitor Alert: Because flu cases are on the rise, starting February 24, children 12 and younger
will be restricted from visiting hospitals and certain inpatient facilities throughout Carolinas HealthCare System. Learn more.

Carolinas HealthCare System

MedCenter Air Customer Satisfaction Survey 2012

* Indicates required information

Please provide the following information to help us best serve you.

First Name
Last Name

1. *
Please select your job title from the list below.

If Other, please specify:

2. *
Request Number (if given) or Date of Transport
3. *
Did you arrange this transport with MedCenter Air?
4. *
If you arranged the transport and it was not excellent, please provide a detailed explanation on how we can improve our service.
5. *
Did MedCenter Air provide you with an accurate ETA?
6. *
Did the MedCenter Air team introduce themselves and their roles upon arrival?
7. *
How would you rate MedCenter Air's quality of care given to the patient?
8. *
Please rate how MedCenter Air's team communicates effectively:
9. *
Please rate how MedCenter Air's crew demonstrates a respectful, helpful and courteous attitude:
10. *
How do you rate your overall experience with MedCenter Air?
11. *
How likely are you to use MedCenter Air again for your critical care transport needs?
12. *
What did you like the most about your transport with MedCenter Air?
13. *
What did you like least about your transport with MedCenter Air?
14. *
MedCenter Air greatly appreciates your feedback; if we did not provide excellent service please help us improve to maintain excellence.
Please recognize any MedCenter Air staff for doing an excellent job.