Skip to content
Customer Satisfaction/Feedback
Professional & Personalized Respiratory Care
*
1.
How likely is it that you would recommend Complete Respiratory Care to a friend or colleague
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
*
2.
Are you:
(Required.)
an Oxygen Customer
a CPAP Customer
*
3.
Which location did you visit or have contact with?
(Required.)
Alliston
Carleton Place
Carlingwood
Collingwood
Cornwall
Drummondville
Hamilton
Hawkesbury
London
Orleans
Princeville
Timmins
Vaughan (Viceroy)
Victoriaville
Winchester
4.
If you would like to provide the name of the Complete Respiratory Care representative who you dealt with, please do so (Optional):
*
5.
Overall, how satisfied were you with the courtesy, friendliness, and politeness of your Complete Respiratory Care representative?
(Required.)
Strongly Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Strongly Dissatisfied
*
6.
Overall, how satisfied were you with the professionalism and expertise of your Complete Respiratory Care representative?
(Required.)
Strongly Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Strongly Dissatisfied
*
7.
The Complete Respiratory Care representative was warm and approachable
(Required.)
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
8.
The Complete Respiratory Care representative was eager to help with my questions/issues
(Required.)
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
9.
The Complete Respiratory Care representative was patient and listened to my concerns.
(Required.)
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
10.
The Complete Respiratory Care representative was knowledgeable about the product or services.
(Required.)
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
11.
Is there anything else you would like to tell us? (optional)
12.
If you would like to provide contact information such as a phone number or email address so a Complete Respiratory Care representative can follow-up on your feedback or if we have questions, please do so here.
NAME (Optional):
PHONE NUMBER (Optional):
EMAIL ADDRESS (Optional):