Patient Satisfaction Survey for Infusion Solutions, Inc. Question Title * 1. The products I received were high quality. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 2. The delivery of medications and equipment was timely, reliable, and efficient. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 3. The education and training I received was effective and comprehensive. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 4. Educational materials I was given were helpful and easy to understand. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 5. Staff was readily available and helpful when I had questions. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 6. Response to my problems, issues and concerns was timely and respectful. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 7. I was clearly instructed on what to do and who to contact in case of emergency. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 8. The manner of staff was professional, respectful, and courteous at all times. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 9. I received an explanation of my financial responsibilities prior to the start of therapy. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Comment: Question Title * 10. I would recommend Infusion Solutions to my friends/family. Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Please provide any additional suggestions. By signing your name at the end, you consent to have your feedback used anonymously by Infusion Solutions. Thank you! Done