Patient Satisfaction Survey
Your satisfaction with our service is very important to us. Let us know if we are doing a good job or if there are areas where we can improve.

1. The equipment and/or supplies were delivered on time.

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2. The equipment was clean when delivered.

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3. The equipment was in good working order when delivered.

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4. The instructions were adequate for safe use of the equipment.

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5. The staff was courteous and helpful.

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6. The financial responsibilities about my bill were explained to me.

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7. Overall the services I received were to my satisfaction.

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8. I would recommend your service to my friends and family.

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9. Additional comments:

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Would you like someone to contact you?

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Phone Number

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