Patient Transport Service Survey

We would like you to think about your recent contact with our Patient Transport Service.

Q1. Overall, how was your experience of our service? *

Thinking about the service we provide...

Please confirm whether you are happy for your comments to be made public: *
Whose views are being reported in this questionnaire? *
Q3. How best describes how quickly we answered the telephone? *
Q4. Did you feel the questions asked in relation to your eligibility for patient transport were appropriate? *
Q5. Were you clearly informed of the date and time of your transport booking? *
Q6. How satisfied were you with the accessibility of the booking system? *
Q7. How satisfied were you with the length of time your journey took? *
Q8. Did you arrive on time for your appointment? *
Q9. If you were late, had anyone contacted you to advise the transport would be delayed? *
Q10. How long did you have to wait for your return transport after your appointment? *

Q11. How would you describe the following:

The comfort of the vehicle you travelled in? *
The suitability of the vehicle you travelled in? *
The cleanliness inside the vehicle you travelled in? *
Q12. Did the service staff introduce themselves to you? *
Q13. How would you describe the attitude of the service staff you had contact with? *
Q14. Did the service staff treat you with dignity and respect? *
Q15. Did the service staff drive safely? *
Q16. Did the service staff offer assistance if required? *
Q17. If you had not travelled with the ambulance service, how would you have travelled to hospital? *
Q18. Did you use patient transport due to any of the following? *

Equality and Diversity

The following questions are used to obtain demographic information about the patients we serve.

This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the health care we provide, and that we deliver our service to the same high standard for all our patients.

Completion of this page is entirely voluntary.

What age are you?
What best describes your gender?
What is your ethnic group?
Religious beliefs of the patient:
Sexual orientation of the patient:
Do you (the patient) have any of the following disabilities?
Are you married or in a civil partnership?
Are you currently pregnant or have had a child within the last 12 months?
Do you now, or have you ever, considered yourself to be transgender?
Did you require any of the following information in a different format to assist you with access to the service?
Do you feel any of the above strands of diversity may have affected the service you received from the East of England Ambulance Service NHS Trust (who provide Patient Transport Service)?
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Thank you for taking the time to complete this questionnaire.
The information collated will be used to assist us in improving the services we provide.