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Tell Us How We're Doing
Click to select your rating on a scale of 10 (best) to 1 (worst), and share any additional comments you think we should know. Starred items require a response.
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1.
How did you most recently interact with SuperCare Health?
(Required.)
Phone call
Home delivery or visit
Visit to a SuperCare Health location
Website chat
Email
Postal mail
Other (please specify)
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2.
Where did you have this interaction?
(Required.)
City
Zip Code
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3.
Please rate how satisfied you were with your overall experience
(Required.)
10 (very satisfied)
9
8
7
6
5 (middle of the road)
4
3
2
1 (not at all satisfied)
Not applicable
Let us know why you choose this rating. Recognize our team members or tell us how we can improve.
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4.
Please rate how satisfied you were with the instruction that was provided on using your equipment
(Required.)
10 (very satisfied)
9
8
7
6
5 (middle of the road)
4
3
2
1 (not at all satisfied)
Not applicable
Let us know why you choose this rating. Recognize our team members or tell us how we can improve.
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5.
Please rate how knowledgeable our care respresentative was
(Required.)
10 (very knowledgeable)
9
8
7
6
5 (middle of the road)
4
3
2
1 (not at all knowledgeable)
Not applicable
Let us know why you chose this rating. You can recognize our team members, or tell us how we can improve.
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6.
Please rate how satisfied you were regarding the timely delivery of your order
(Required.)
10 (very satisfied)
9
8
7
6
5 (middle of the road)
4
3
2
1 (not at all satisfied)
Not applicable
Let us know why you chose this rating. You can recognize our team members, or tell us how we can improve.
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7.
On a scale of 0 to 10,
How likely is it that you would recommend SuperCare Health to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
8.
Share any other thoughts you have about your interaction with SuperCare Health
9.
Please contact me to resolve the issue I raised
Name
Account # or Birthdate
Email Address
Phone Number
