Customer Satisfaction Survey

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Customer Satisfaction Survey

Please let us know how your experience with us went. Google sign in NOT required...

Email *

How satisfied are you with our Crew's knowledge? *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

How satisfied are you with our Crew's Professionalism? *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

How satisfied are you with our Crew's Appearance? *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

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How do feel about the timeliness during the call? *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

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Please rate your overall satisfaction. *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

Please rate your satisfaction with billing office. *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

Please rate your satisfaction Crew interaction. *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

Please rate convalescent scheduling process. *

Not satisfied

Somewhat satisfied

Satisfied

Very Satisfied

Choose only one:

How professional is our company? *

Unprofessional

Somewhat professional

professional

Very professional

Choose only one:

A copy of your responses will be emailed to the address you provided.

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