Home
Featured Products
Rentals
Contact Us
Health Information Links
Satisfaction Survey
Featured Products »
Click here to see a list of our current featured products.
Equipment:
*
Date of Service (enter as digits - ie: 01/31/2012)
*
Was the equipment/service provided in a timely manner?
*
1
2
3
4
5
Were you given complete instructions on your equipment/care?
*
1
2
3
4
5
Were all your questions answered to your satisfaction?
*
1
2
3
4
5
Was the staff courteous, knowledgeable, and professional?
*
1
2
3
4
5
Were you instructed on who/where to call with questions or problems?
*
1
2
3
4
5
Were you satisfied with your equipment/service?
*
1
2
3
4
5
Would you recommend our equipment/services to others?
*
1
2
3
4
5
Please share your comments or suggestions on how we might serve you better:
Name (optional)
Phone (optional)
Email (optional)
Δ