Medical Care Survey

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Medical Equipment Distributors

MEDICAL EQUIPMENT DISTRIBUTORS OF VIRGINIA PERCEPTION OF CARE SURVEY

Dear Home Medical Equipment Customer:

To help maintain the highest level of professional care and service possible, we periodically ask for your assistance. Answering the following questions in an objective and straight-forward manner will help us to constantly improve our service to you and to all our other valued customers. We appreciate your help, just as we appreciate your business. Thank you for your time.

Type of care or service you are receiving:
Please rate us on the following items: Excellent Good Fair Poor
Cleanliness/condition of supplies you received:
Quality of the instructions provided for the safe use of the equipment/supplies at the time of delivery:
Has Medical Equipment Distributors staff been courteous, helpful and knowledgeable, when calling or in person:
Please rate the overall care you received:

Do you feel that the service provided to you can be improved? If so, how?
Yes No

Additional comments: