CUSTOMER SERVICE SATISFACTION SURVEY

Was the equipment delivered at the agreed upon time?

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* 1. Was the equipment delivered at the agreed upon time?

Was the equipment clean when received?

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* 2. Was the equipment clean when received?

Does the equipment operate properly?

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* 3. Does the equipment operate properly?

Were adequate instructions provided for the safe use of the equipment?

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* 4. Were adequate instructions provided for the safe use of the equipment?

Was the time between your evaluation and the time you received your medical equipment acceptable?

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* 5. Was the time between your evaluation and the time you received your medical equipment acceptable?

Were the hours of operation provided to you?

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* 6. Were the hours of operation provided to you?

Was the staff courteous and helpful?

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* 7. Was the staff courteous and helpful?

Would you recommend our service to your family and friends?

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* 8. Would you recommend our service to your family and friends?

Overall, how would you rate our company?

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* 9. Overall, how would you rate our company?

Overall, satisfaction:

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* 10. Overall, satisfaction:

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