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Acelleron Customer Satisfaction Survey
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1.
What type of medical equipment did Acelleron provide to you?
(Required.)
Blood Pressure Monitor
Breast Pump
Compression Socks
Maternity Belt
Nebulizer Compressor Kit
Other (please specify)
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2.
How satisfied were you that your equipment was delivered in a timely manner?
(Required.)
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
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3.
How satisfied were you that the equipment received was complete and included an instructional manual?
(Required.)
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
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4.
If you had any questions or complaints, how satisfied were you with our response?
(Required.)
Very satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
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5.
Compared to our competitors, is product quality better, worse, or about the same?
(Required.)
Better
Worse
About the same
Don't know
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6.
Overall, how satisfied are you with Acelleron?
(Required.)
Very satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
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7.
How likely are you to recommend Acelleron to others?
(Required.)
Extremely likely
Quite likely
Moderately likely
Slightly likely
Not at all likely
8.
Could we improve on any aspects of our service? If yes, please explain.
9.
While it is optional for you to share with us your name, email and phone number, we sincerely hope you will. This will allow us the opportunity to possibly learn more about your comments and hear directly about what you liked most about our company, as well as how you believe we can improve.
Name
Email Address
Phone Number