Cascade Mountain Ski Patrol Feedback Form

Cascade Mountain Ski Patrol is a volunteer organization founded in 1962 as a non-profit organization. This form is to gather feedback from customers of Cascade Mountain that we have either treated or interacted with. We are always striving to improve, and hope that your feedback will help us with that. Thank you for your time.

1Other interaction page > 2Contact Info
Date of Incident/Interaction Date of Incident/Interaction / MM / DD YYYY

Please enter the date and time you interacted with ski patrol. This will help us to identify the patroller(s) that you worked with. If you were given a business card, this information will be written on the back.
Approximate time of Incident/Interaction Approximate time of Incident/Interaction : HH MM AM/PM

If you were treated by patrol and given a business card, this time will be written on the back of the card.
What was your interaction with ski patrol?

What was your interaction with ski patrol? You were injured. A family member was injured. A friend was injured. Other Other
Did you or the injured person seek further medical care?

Did you or the injured person seek further medical care? Yes No
When did you/or the other person seek further medical care?

When did you/or the other person seek further medical care? Immediately The next day Later Other Other
Where did you or the other person go for further medical care?

Where did you or the other person go for further medical care? Divine Savior in Portage St. Clare in Baraboo Madison Area Hospital or clinic Back to your home area Other Other
Where was your injury?

Where was your injury? Upper Leg Knee Lower Leg Ankle Foot Hip Abdomen Chest Back Neck Shoulder Arm Wrist Hand Thumb Head Face Eye Nose Mouth Teeth Other

You may check more than one area where you had an injury.
What was the diagnosis of the injury?

For example, did you have a fracture, a sprain, a dislocation, separation, concussion?
Did the treatment given by patrol change the pain level?
Did you feel that the patroller(s) acted professionally?
Please explain, why you felt patrol was not professional and how we could have done better.
Did you feel that you/family/friend were treated with compassion?
Please explain, what made you feel you/family/friend were not treated with compassion, and what we could have done better.
Overall Rating *

Please give your interaction with ski patrol an overall rating.
Please add any additional comments that you may have.
Maximum of 10000 words allowed. Currently Entered: 0 words.
Do you wish to give us any contact information.

If you wish to give us your email or any contact information, you will be taken to the last page. If not, just click on Continue, and your feedback will be submitted.