Patient Satisfaction Survey
1.
Did provider explain usage of equipment/supplies in a clear and concise manner?
Yes
No
2.
Did provider treat you with dignity and respect?
Yes
No
3.
Were you given provider's phone number to contact the provider if you have any questions or concerns?
Yes
No
4.
Did you receive all signed paperwork via email or via hardcopy?
Yes
No
5.
Was therapist/technician knowledgeable with the delivered equipment?
Yes
No
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