Contact » Customer Feedback Survey Customer Feedback Survey Your Name* Name of Facility* Email* Date of Service* MM slash DD slash YYYY Was Trinity staff on time?* Yes No Rate Trinity's PerformanceOne a scale of 1-5 (1 being below average and 5 being excellent), Please rate Trinity’s performance in the following areas: *The level of service provided by Trinity’s Dispatch personnel. 1 2 3 4 5 The general appearance of 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 staff members. 1 2 3 4 5 The overall condition of the equipment and ambulance. 1 2 3 4 5 Overall satisfaction with your entire 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?
