Hospital Staff - Satisfaction Survey Section AThis section will only be seen by management however should you not wish to disclose your details please leave this section blank. Ward / Hospital Name: Contact Email: Section B Which service do we currently provide for your organisation? Young Person Transport Vulnerable Adult Transport If you have used the service in the past but no longer use the service please kindly advise the reason for this: Section CThis section will only be seen by management however should you not wish to disclose your details please leave this section blank. Do you find our office / on call staff friendly and easy to communicate with? Yes No Occasionally Are they helpful and efficient when dealing with a query or booking? Yes No Occasionally Section DPlease rate our field staff on the following using numbers 1 – 5 (1 = Extremely Poor. 2 = Poor. 3 = Average. 4 = Good. 5 = Excellent) General attitude 1 2 3 4 5 Professionalism 1 2 3 4 5 Helpfulness 1 2 3 4 5 Time Keeping 1 2 3 4 5 Overall appearance 1 2 3 4 5 Friendliness 1 2 3 4 5 Care & attention 1 2 3 4 5 General manners 1 2 3 4 5 Communication skills 1 2 3 4 5 Attention to detail 1 2 3 4 5 Dealing with difficult to handle situations 1 2 3 4 5 Section EPlease rate our vehicles on the following using numbers 1 – 5 (1 = Extremely Poor. 2 = Poor. 3 = Average. 4 = Good. 5 = Excellent) General cleanliness 1 2 3 4 5 Reliability 1 2 3 4 5 Suitability 1 2 3 4 5 Comfort 1 2 3 4 5 Is this feedback intended for someone other than the person whose QR code you scanned? If so, please provide their name below. Submit
