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. Question Title * 1. How did you most recently interact with SuperCare Health? Phone call Home delivery or visit Visit to a SuperCare Health location Website chat Email Postal mail Other (please specify) Question Title * 2. Where did you have this interaction? City Zip Code Question Title * 3. Please rate how satisfied you were with your overall experience 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. Question Title * 4. Please rate how satisfied you were with the instruction that was provided on using your equipment 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. Question Title * 5. Please rate how knowledgeable our care respresentative was 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. Question Title * 6. Please rate how satisfied you were regarding the timely delivery of your order 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. Question Title * 7. How likely is it that you would recommend SuperCare Health to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 8. Share any other thoughts you have about your interaction with SuperCare Health Question Title * 9. Please contact me to resolve the issue I raised Name Account # or Birthdate Email Address Phone Number Done