Contact » Patient Survey Patient Survey Patient Name* First Last Date of Service* MM slash DD slash YYYY Email* Day Phone Rate Pridestar Trinity's PerformanceOne a scale of 1-5 (1 being below average and 5 being excellent), Please rate Pridestar Trinity’s performance in the following areas: *The level of service provided by Pridestar Trinity’s Dispatch personnel. 1 2 3 4 5 The general appearance of Pridestar Trinity's personnel and uniforms. 1 2 3 4 5 Trinity personnel’s behavior and demeanor towards the patient. 1 2 3 4 5 Trinity personnel’s behavior and demeanor towards bystanders or family. 1 2 3 4 5 The overall condition of the equipment and ambulance. 1 2 3 4 5 Trinity’s level of clinical knowledge and expertise. 1 2 3 4 5 Trinity’s driving and your ride in the ambulance. 1 2 3 4 5 Overall satisfaction with your entire Pridestar Trinity experience. 1 2 3 4 5 CommentsPlease provide any other comments you would like to share about your Trinity experience:Permission* Yes No I grant permission for Trinity to use my comments for promotional purposes.Follow-up* Yes No Would you like a Trinity representative to follow-up with you regarding your experience?
