What Do You Need From Your Medical Providers?

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* 1. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

I prefer not to answer

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* 2. What is your gender?

Female

Male

Nonbinary

I prefer not to answer

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* 3. What language(s) do you prefer to communicate in?

Arabic

Armenian

Chinese (Cantonese)

Chinese (Mandarin)

English

French

German

Greek

Italian

Japanese

Korean

Russian

Spanish

Tagalog

Vietnamese

Other (please specify)

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* 4. How do you prefer to receive communications from SuperCare Health?

Postal mail

Phone call

Text/SMS messaging

Other (please specify)

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* 5. Choose all the devices you use regularly to communicate with other people, organizations, or companies.

Mac (desktop or laptop)

Windows (desktop or laptop)

Apple smartphone

Android smartphone

Standard phone

Apple tablet

Android tablet

Other (please specify)

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* 6. What equipment has SuperCare Health provided to you? (Choose all that apply)

Oxygen (tanks, concentrator, portable concentrator)

Ventilator (invasive, non-invasive)

CPAP / BiPAP device and supplies

Airway clearance device or vest

Nebulizer and nebulized medication

Pediatric care and supplies

Urological and incontinence supplies

Home medical equipment (walkers, beds, wheelchairs, etc.)

Other (please specify)

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* 7. When you interact with our staff, how well do we address your specific condition, situation, and questions?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 8. Any additional comments about our interactions?

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* 9. How well did we educate you on your condition, your equipment and supplies, and what you can expect from following your treatment plan?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 10. Any additional comments about our educational efforts?

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* 11. If you have accessed the resources available to you on the Patient Solutions section of our website, how would you rate their usefulness to you?

Very useful

Somewhat useful

They are fine to have, but I didn't use them

I tried to use them but they we're only slightly helpful

They failed to help me at all

N/A - Didn't visit the website or use any online resources

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* 12. Any additional comments about our online resources?

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* 13. Overall, how well do you feel SuperCare Health has supported you in managing your condition?

Completely supported

Mostly supported

Somewhat supported

Not well supported

Not supported at all

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* 14. Any additional comments about our support?

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* 15. Overall, how would you rate the quality of your experience with SuperCare Health?

Very positive

Somewhat positive

Neutral

Somewhat negative

Very negative

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* 16. Any additional comments about your overall experience?

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* 17. How likely is it that you would recommend this company to a friend or colleague?

Not at all likely

Extremely likely

What Do You Need From Your Medical Providers?

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What language(s) do you prefer to communicate in?

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* 4. How do you prefer to receive communications from SuperCare Health?

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* 5. Choose all the devices you use regularly to communicate with other people, organizations, or companies.

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* 6. What equipment has SuperCare Health provided to you? (Choose all that apply)

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* 7. When you interact with our staff, how well do we address your specific condition, situation, and questions?

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* 8. Any additional comments about our interactions?

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* 9. How well did we educate you on your condition, your equipment and supplies, and what you can expect from following your treatment plan?

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* 10. Any additional comments about our educational efforts?

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* 11. If you have accessed the resources available to you on the Patient Solutions section of our website, how would you rate their usefulness to you?

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* 12. Any additional comments about our online resources?

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* 13. Overall, how well do you feel SuperCare Health has supported you in managing your condition?

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* 14. Any additional comments about our support?

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* 15. Overall, how would you rate the quality of your experience with SuperCare Health?

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* 16. Any additional comments about your overall experience?

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* 17. How likely is it that you would recommend this company to a friend or colleague?

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* 18. What improvements, changes or additions would you suggest to enable SuperCare Health to better meet your needs?