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Hello:
You are invited to participate in our Satisfaction Measure. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Michelle Duck at 480-365-0222 x 1000 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Was the equipment/supplies delivered in a timely manner?
 
Yes
 
No
 
N/A
 
 
 
Was the equipment/supplies clean, in working order and ready for patient use upon delivery?
 
Yes
 
No
 
N/A
 
 
 
Did you receive and understand instructions on the proper use of the equipment/supplies provided?
 
Yes
 
No
 
N/A
 
 
 
Do you feel confident you are able to operate and use equipment/supplies provided?
 
Yes
 
No
 
N/A
 
 
 
Were any questions, problems or concerns addressed in a timely manner?
 
Yes
 
No
 
N/A
 
 
 
Were you satisfied with the equipment or supplies?
 
Yes
 
No
 
N/A
 
 
 
Were you satisfied with our service and would you recommend us to others?
 
Yes
 
No
 
N/A
 
 
 
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