Referral Source Survey
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Referral Source Survey

 
At CAPE MEDICAL SUPPLY our mission is to provide the highest levels of service and care possible. In order to achieve this goal we continuously search for information and feedback on what we do well and especially areas we can improve upon. In this regard we are very interested in your confidential feedback to our short survey.
Thank you for the the opportunity to learn from your insights and figure out how we can serve you better in the future.
In appreciation for your time we will happily enter you into a raffle for a pair of tickets to a 2010-2011 Boston Bruins Game!!!

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1. Thinking about the referral process; do you find it easier or more difficult to refer patients to CAPE MEDICAL SUPPLY versus other service providers you refer to?

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2. When you call CAPE MEDICAL SUPPLY your call is routed to the correct department

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3. If you are placed on hold the wait time is:

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4. When you are working with the CAPE MEDICAL SUPPLY Customer Service Department do you find the process efficient?

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5. Thinking about CAPE MEDICAL SUPPLY'S requirements relative to insurance information and supporting documentation; do you find CAPE MEDICAL SUPPLY'S requests

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6. How would you most like to communicate with CAPE MEDICAL SUPPLY in the future?

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7. When responding to your patients needs, do you find CAPE MEDICAL SUPPLY'S response time;

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8. Would you like to see CAPE MEDICAL SUPPLY utilize a web based process for Certificate's of Medical Necessity (CMN), referrals, and other critical communications in the future?

9. Overall you would rate CAPE MEDICAL SUPPLY as;

10. If you would like to be entered into the drawing for the Boston Bruins tickets please enter your information below:

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