How was your journey today?

ATL Patient Transport Survey:
Please take a moment of your time to complete this survey.  This will aid us in gaining an understanding of your thoughts on our service, as well as highlight areas where improvement is needed.
Please note that this info is anonymised.

Question Title

* 1. How would you best describe yourself? 
I am a:

Question Title

* 2. How often do you use patient transport services?

Question Title

* 3. Please choose the type of vehicle that you usually require:

Question Title

* 4. Do you require a carer / healthcare assistant to travel alongside you?

Question Title

* 5. Have you used patient transport before?

Question Title

* 6. Would you be happy to travel with other patients?

Question Title

* 7. Did you get to your appointment on time?

Question Title

* 8. How long do you think it is acceptable to wait for the patient transport service?

Question Title

* 9. Do you think that the patient transport service makes good use of technology? 
For example:  phoning you in the morning to confirm pick up time

Question Title

* 10. Thinking about your recent experience, how likely are you to recommend our service to friends or family?

Question Title

* 11. Were you contacted prior to your appointment to confirm your transport?

Question Title

* 12. Would you prefer to be contacted in regards to booked transport, or receive a text message when the AMB is nearby.

Question Title

* 13. The ambulance you travelled in was clean and tidy.

Question Title

* 14. The staff you interacted with were polite and courteous at all times.

Question Title

* 15. You felt safe and comfortable throughout your journey.

Question Title

* 16. What is most important to you when using patient transport vehicles?  Please choose up to three from the list below:

Question Title

* 17. What parts of the service from the following list are the most important in your opinion? 
Please choose up to three from the list below:

Question Title

* 18. Age Range

Question Title

* 19. Do you have any other comments, questions or concerns?

Question Title

* 20. Please select from the drop down list the Trust you are attending to, and provide us with the unit/wards name below:

Question Title

* 21. If you would like us to repsond to your comments please provide your details below.
(Alternatively this survey is anonymous and no response will be provided)

T