Survey on Durable Medical Equipment (DME) Service in Connecticut

In an effort to expand the quality of DME services and reduce wait times for repairs, the CT State Independent Living Council is conducting a survey of DME users in CT.  This survey is being distributed among people with disabilities in CT.  It will not fix anyone's particular issue but will provide the Connecticut State Independent Living Council with valuable information with which it can advocate for change among providers, local and national government and business leaders.  All surveys are anonymous.  The survey must be completed by December 14, 2022

This survey should take you about five minutes to complete and does offer an opportunity to share suggestions at the end. 
THANK YOU FOR TAKING THE TIME TO COMPLETE THE SURVEY!

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* 1. Who is filling out this survey?

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* 2. What is your Zip Code?

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* 3. Durable Medical Equipment (DME) is any medical equipment used in the home to aid in a better quality of living, such as  wheeelchairs, hospital beds, lifts, etc.  


How do you usually receive and repair DME? Check all that apply.  

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* 4. How do you pay for medical expenses and equpment? Check all that apply.

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* 5. Where do you get your DME? Check all that apply.

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* 6. How satisfied are you with the DME vendors you use?

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* 7. When was the last time you experienced a difficulty or delay in repairing or replacing DME?

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* 8. Please check all catgories of DME that you use.

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* 9. How long does it take on average to repair or replace equpment after contacting your DME vendor?  Respond only regarding those items that you use.

  Less than 1 month 1-3 months 4-6 months More than 6 months
Manual Wheelchair
Powerchair/Scooter
Bathroom/Shower Equipment
Lifts
Other

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* 10. What are the most common reasons given by your DME vendor for delays in replacements or repairs?  Check all that apply.

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* 11. Have you ever needed an urgent equipment repair at times when you can't get service from your DME vendor, such as after normal business hours, on weekends or on holidays?

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* 12. Have you ever needed, but could not get, a loaner or spare DME during a repair?

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* 13. Have you ever had an injury or made a current injury worse due to not getting timely service or repair of your equipment?

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* 14. Please describe any other major difficulties in getting DME repaired or replaced.

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* 15. Please share any suggestions to improve the process of getting DME repaired. 

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* 16. Questions 16 to 18 are optional.


(Optional)
 What is your disability category?  Check all that apply.

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* 17. (Optional) What is your gender?

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* 18. (Optional) What is your age?

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