Patient Satisfaction Survey

Thank you for choosing Merced Medical supply for your home medical needs. As part of our efforts to improve quality, we ask you to fill out our follow-up questionnaire to ask for your opinion/comments regarding our customer service. Please answer the following questions and supply any comments you wish to add. Thank you for your time and cooperation.

Question Title

* 1. Do you feel that you were treated well by our staff?

Office Staff - Yes

Office Staff - No

Delivery Personnel - Yes

Delivery Personnel - No

Respiratory Therapists - Yes

Respiratory Therapists - No

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* 2. Were you given written instruction or demonstration in order to safely/appropriately use the equipment purchased or rented?

Yes

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* 3. Are you satisfied with the quality of the product(s) you received?

Yes

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* 4. If the services you received required a follow-up visit, was the visit made in a timely manner and were your needs met?

Yes

Not applicable

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* 5. Would you recommend our store to others, such as friends, family, etc?

Yes

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* 6. Would you like a return phone call from Management? If so, please provide contact information below.

Yes

Patient Satisfaction Survey