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Customer Satisfaction Survey

Walker Home Medical recently supplied you with Durable Medical Equipment, supplies or services requested by you or ordered by your physician. Please take a few minutes to complete the following survey. Your comments are valuable in evaluating our level of customer service for continuous improvement. Our goal is to provide every customer with the best service possible.
1.Please rate Walker Home Medical's service in the following areas:(Required.)
Very satisfied
Somewhat Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Very Dissatisfied
N/A
Response to your questions and concerns
Promptness of delivery
Ability to assess and identify your needs
Training and instruction on use of equipment
Overall satisfaction with equipment or service
Were you advised of your financial responsibility for your equipment?
Did you receive a copy of your Sales Order, which includes contact information and complaint procedures?
Was our staff courteous and helpful?
2.Please rate your level of satisfaction with Walker Home Medical's services.(Required.)
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
3.Would you recommend our services to friends or family?(Required.)
Yes
No
4.Do you have any other comments, questions, or concerns?
5.Please enter your contact information (Optional)