Unit 1, Mount Pleasant Park, Mount Pleasant Road, Southampton, Hampshire SO14 0SP

Patient Experience Card

As part of Medisec Ambulance Service's commitment to improving patient care we encourage feedback from patients and relatives. It is only by receiving such feedback that we are able to improve our service further. Indicate your level of satisfaction in each category. Please answer each question honestly and to the best of your ability. Your feedback will be passed to our management team to ensure that your comments/complaint is dealt with swiftly.

Kindly mention your Job reference if available

Putting Patients First
Very Satisfied Satisfied Neither satisfied
or Unsatisfied
Unsatisfied Very Unsatisfied
Cleanliness of Vehicles
Courtesy of Ambulance Team
Knowledge of Ambulance Team
Appearance of Ambulance Team
Treatment of You/Your Relative
Advice or Treatment Given
Comfort of Your Journey
Overall Experience
Were you picked up on time?
Were you dropped off on time?
Please write any comments below

Do you wish a manager to contact you to discuss your feedback?

If yes,would you like this to be done in :

Please provide us with your name:
Please provide us with your address if you wish to be contacted in writing.
Address Line 1:
Address Line 2:
Please provide us with your telephone number if you require us to contact you this way.
Your email address:

Unit 1 Mount Pleasant Ind park, Mount Pleasant Road, Southampton Hampshire SO14 0SP