Nurse Health Line Survey

Are you the:*

How did you hear about our service?*

Was our nurse helpful and polite?*

How well did our nurse explain your best care option?*

How would you rate your overall experience with the Nurse Health Line?*

Did our nurse give adequate information regarding your call?*

Did you follow the nurse's recommended level of care?*

Why not?*

Would you use our service again in the future?*

Why not?*

Which of the following is where you receive healthcare or is the closest health facility to you?*

What did we do well?

What can we do to serve you better?

Would you like to recognize a nurse for their excellent service?

Other Comments

Would you like someone from REMSA to contact you about your feedback?*

Name*

Please provide your contact information.

First Last

Phone*

Want to join the team?