1.

Thank you for contributing to our efforts to provide better services. Your thoughts, experiences, and suggestions will be a valuable part of the on-going efforts to provide patient-centered, cost-effective, accessible and quality services. Please check the appropriate response for each survey question.  

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* 1. Does your staff encounter inappropriate delays when the call our office?

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* 2. When your organization refers patients to our office are we responsive to your referral needs?

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* 3. Do you receive both timely and adequate support for your referrals?

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* 4. Have our services improved the quality of life of patients your organization has referred?

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* 5. Does your staff encounter inappropriate delays when ordering medical equipment?

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* 6. Would your organization recommend our services to another referral source, organization, family member or individual?

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* 7. OPTIONAL

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