Patient Satisfaction Survey Question Title * 1. Did provider explain usage of equipment/supplies in a clear and concise manner? Yes No Question Title * 2. Did provider treat you with dignity and respect? Yes No Question Title * 3. Were you given provider's phone number to contact the provider if you have any questions or concerns? Yes No Question Title * 4. Did you receive all signed paperwork via email or via hardcopy? Yes No Question Title * 5. Was therapist/technician knowledgeable with the delivered equipment? Yes No Comments: Done