Contact Us Contact Us If you are human, leave this field blank. User Information Name * First Last * Last Email * Phone Number * Subject * Message * Fill out a customer service form? * No Yes Patient Satisfaction Survey Please take a few moments to let us know how we are doing. Patient care and serving our citizens is our number one priority. Completing this brief survey will help us to better serve you in your time of need. Please rank the following questions: 0 = Strongly Disagree; 3 = Neither; 6 = Strongly Agree; 1. The 911 dispatcher was professional and helful to me giving clear instructions before the responders arrived. * 1 2 3 4 5 6 2. The response time of the emergency responders was within an acceptable time frame to me. * 1 2 3 4 5 6 3. The responders were professional in appearance and demeanor. * 1 2 3 4 5 6 4. The responders seemed knowledgeable. * 1 2 3 4 5 6 5. The responders were compassionate and caring. * 1 2 3 4 5 6 6. The treatment I received seemed appropriate or helped me feel better. * 1 2 3 4 5 6 7. The ambulance ride was comfortable. The provider ensured I had blankets and a pillow. * 1 2 3 4 5 6 8. The ambulance was clean and appeared sanitary. * 1 2 3 4 5 6 9. The billing office was helpful in reconciling my bill and the payment process was easy. * 1 2 3 4 5 6 10. Overall I was satisfied with the treatment and care I received from Washington County / Johnson City Emergency Medical Services. * 1 2 3 4 5 6 I live in the: * City County I would like further contact from the WCJC EMS, my name is: Only enter your name if you want to recive a call about this form. Phone: Additional Comments: Our Address: EMERGENCY DIAL 911 Washington County / Johnson City EMS 296 Wesley Street Johnson City, TN 37601 OFFICE: 423-975-5500 Non-Emergency Dispatch: 423-975-5515 E-mail: operations@wcjcems.org
