Survey

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* 1. How would you rate the timeliness of your delivery?

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* 2. Please rate the courtesy of our staff

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* 3. How was the explanation of safe equipment usage?

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* 4. Rate the explanation of your out-of-pocket financial costs

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* 5. What is your likelihood of recommending Fort Medical Equipment to others?

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* 6. Please rate the timeliness of response to questions and issues

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* 7. County of Residence

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* 8. Which service(s) did Fort Medical Equipment provide?

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* 9. In which month did you receive service?

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* 10. Comments

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