Choice Medical Equipment Customer Satisfaction Survey
In an effort to maintain the highest level of professional care and service possible, we would like for you to complete the following survey regarding the equipment/services that you have received from Choice Medical Equipment. Please respond in an honest, objective, and straight forward manner. We appreciate your help and we appreciate your business. Thank you.
Equipment/Service you received *
Was equipment/supplies delivered at the agreed upon time? *
Was equipment/supplies received in a clean condition *
Did the equipment operate properly at the time of delivery? *
Were instructions given for the safe and proper use of the equipment/supplies adequate? *
Was Choice Medical Equipment staff courteous, helpful and knowledgeable? *
Was our after-hours/on call policy explained to you? *
How would you rate the care and/or service received? *
Do you feel that the service provided to you can be improved? *
Please explain:
Your answer
Overall Satisfaction *
Your answer
Name: [Optional]
Your answer
Never submit passwords through Google Forms.
This form was created inside of Choice Medical Equipment. Report Abuse - Terms of Service - Additional Terms