It is our desire to provide the best quality home care services available. In order to help us maintain our high standards, please take a few moments to tell us how we are doing. Please complete this survey and note the response that mostly matches your experience with Rehabilitation Equipment Professionals Inc.

Overall, was the equipment and or services provided in a timely manner?

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* 1. Overall, was the equipment and or services provided in a timely manner?

Overall, were your home care needs met through the equipment or services provided?

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* 2. Overall, were your home care needs met through the equipment or services provided?

Overall, did our staff discuss your patient responsibility and financial obligation for the request durable medical equipment or services provided?

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* 3. Overall, did our staff discuss your patient responsibility and financial obligation for the request durable medical equipment or services provided?

Overall, were you informed how to contact the office for all inquires, during office hours?

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* 4. Overall, were you informed how to contact the office for all inquires, during office hours?

Overall,would you utilize or recommend Rehabilitation Equipment Professionals Inc., to your friends or family?

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* 5. Overall,would you utilize or recommend Rehabilitation Equipment Professionals Inc., to your friends or family?

Overall, were our representatives courteous and professional?

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* 6. Overall, were our representatives courteous and professional?

Overall, were the explanations and instructions given or offered by our representatives adequate?

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* 7. Overall, were the explanations and instructions given or offered by our representatives adequate?

Overall, were all procedures and or services explained prior to performing them?

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* 8. Overall, were all procedures and or services explained prior to performing them?

Overall, was the equipment delivered clean and in good working condition?

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* 9. Overall, was the equipment delivered clean and in good working condition?

Overall, do you feel that your personal property was treated with respect while in our possession?

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* 10. Overall, do you feel that your personal property was treated with respect while in our possession?

Comments and Concerns:

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* 11. Comments and Concerns:

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