Dear Patient:

QuickCare would like to thank you for giving us the opportunity to serve you.  Please help us serve you better by taking a couple of minutes to tell us about the service that you have received so far.  We appreciate your business and want to make sure that we meet your expectations. 



TELL US WHAT YOU THINK
DINOS LO QUE PIENSA

* 1. How would you rate the professionalism of our staff?
    ¿Cómo calificaría el profesionalismo de nuestro personal?

* 2. How would you rate the accuracy of the medications and supplies we gave or sent you?
    ¿Cómo calificaría la precision de los medicamentos y suministros que le entregamos o enviamos?

* 3. Rate how easy it is to get in touch with us by phone
    Califigue qué tan fácil es comunicarse con nosotros por teléfono

* 4. Rate how easy it is to get answers to your questions, follow-up, or help with any concerns you have
    Califique qué tan fácil es obtener respuestas a sus preguntas, seguimiento o ayuda con cualquier inquietud que tenga.

* 5. How would you rate the timeliness of scheduling and receiving your medications?
    ¿Cómo calificaría la puntualidad de la planificatión y recepción de los medicamentos?

* 6. How would you rate your overall experience with your Patient Care Representative?
    ¿Cómo calificaría su experiencia general con el representante de Atención al Paciente?

* Name of your Patient Care Representative / 
Nombre de tu Representante de Atención al Paciente:

* Additional comments or recommendations /
Recomendaciones o comentarios adicionales:

*
PATIENT CONTACT INFORMATION / INFORMACION DE CONTACTO
(PLEASE PROVIDE YOUR CONTACT INFORMATION IF YOU WOULD LIKE TO BE CONTACTED REGARDING THIS
SURVEY/ PORFAVOR DENOS SU INFORMACION DE CONTACTO SI DESEA SER CONTACTADO REFERENTE A ESTA ENCUESTA)

Report a problem

T