Thank you for being an AdvaCare Customer.  To help us improve, we'd like to ask you a few questions about your experience with our service.

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* 1. Name

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* 2. Phone

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* 3. Email

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* 4. Completed Survey

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* 5. The equipment was delivered to me in a timely manner.

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* 6. The equipment delivered to me was in proper working condition.

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* 7. I was given instructions on how to operate the equipment provided.

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* 8. The Service Technician that delivered the equipment was courteous, knowledgeable, and professional.

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* 9. I was provided with instruction on who/where to call with any questions or problems.

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* 10. I am satisfied with the equipment I received from AdvaCare Systems.

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* 11. Please provide any additional feedback, comments, or suggestions on how AdvaCare might serve you better.

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