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* 1. Who is answering this survey?

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* 2. Did Allcare Medical Equipment delivery person introduce or identify him/herself when he/she arrived at your residence?

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* 3. How would you rate the equipment received?

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* 4. Please rate the equipment and safety instructions given by the delivery person

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* 5. Were you made aware of Allcares' 24 hour emergency service?

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* 6. Do you feel that you (patient) were treated with respect by Allcare Medical Equipment staff?

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* 7. Were you presented with Allcares' Patient's Bill of Rights to read?

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* 8. Do you feel that you have the right to make choices regarding your ongoing care?

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* 9. Was the equipment delivered on time?

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* 10. Would you recommend our products and /or services to anyone else?

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* 11. OPTIONAL

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