MIDWEST RESPIRATORY CARE SURVEY
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1. Customer Satisfaction Survey
In an effort to continuously improve our services, please take a few minutes to complete our survey.
1
. Our customer service phone staff were courteous and polite.
Our customer service phone staff were courteous and polite.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
2
. Our delivery arrived at your home within the promised time frame.
Our delivery arrived at your home within the promised time frame.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
3
. Your order was complete when you received it.
Your order was complete when you received it.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
4
. Our delivery staff were respectful of your home and belongings.
Our delivery staff were respectful of your home and belongings.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
5
. We were able to supply all of the products/services you need.
We were able to supply all of the products/services you need.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
6
. Our driver left you with clear written instructions of how to use your equipment and how to reach our office during office hours and afterwards.
Our driver left you with clear written instructions of how to use your equipment and how to reach our office during office hours and afterwards.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
7
. Your are aware of all of the products and services we provide.
Your are aware of all of the products and services we provide.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
8
. You would refer us to your family and friends for medical supplies and medical equipment services.
You would refer us to your family and friends for medical supplies and medical equipment services.
N/A
Strongly Disagree
Do not Agree
Somewhat Agree
Agree
Strongly Agree
Other (please specify)
9
. If there is anything you would like us to know, good or bad, please tell us in the space below:
If there is anything you would like us to know, good or bad, please tell us in the space below:
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