Service User Feedback Questionnaire

We would love to hear what you think of us. Please take a few minutes to complete our form and tell us what we did well and what we need to do better.

Help us improve

Your feedback is completely confidential and only takes a few minutes — and you can leave it anonymously if you'd prefer. Every response helps us improve the care we give everyone in our community.

If you have any questions or would like help completing this form, please contact us on 01904 819018 or email feedback@yormed.co.uk.

Feedback questionnaire

Tell us about your experience — every response helps us care better for our community.

About you

You can leave these blank if you'd prefer to give feedback anonymously.

Optional.

Optional — only needed if you'd like a reply.

Optional.

Your experience

e.g. March 2026 — optional.

How likely are you to recommend YorMed to friends and family if they needed similar care?
Overall, how would you rate your experience with us?
Were you treated with dignity, respect and kindness by our team?
In your own words
Follow-up & consent
May we contact you about your feedback?

If yes, please make sure you've given us an email or phone number above.

Your consent

Required field

How we use your feedback

YorMed Ambulance Service will hold your information securely in accordance with the Data Protection Act 1998 and GDPR. We may use the information you provide as part of our ongoing commitment to improving the quality of the services we provide.