Customer Satisfaction Survey

Please provide a rating of 1-5 for each of the questions below. If you prefer you may call our office to report your Satisfaction directly, please call 800-994-0464 and speak with the Customer Service representative. Your feedback is critical to us and will be reviewed to provide increased customer satisfaction with our services. Thank you for allowing us to assist you in your time of medical need.

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What kind of equipment did you receive?(Required)

DVT Prevention Pumps & Wrap(s)

Cold Compression & Orthotic(s)

Pain Pump(s)

Other

Please describe the specific item(s) received(Required)

(example: shoulder orthosis)

Was the equipment and/or supplies delivered at the agreed upon time?

Was the equipment and/or supplies clean when received?

Does the equipment operate properly?

Were adequate instructions provided for the safe use of the equipment?

Was the staff courteous and helpful?

Was the after-hours or on-call policy explained?

Would you recommend our service to your friends and family?

Comments

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Phone (Optional)