Your satisfaction with our service is very important to us. We need your help by letting us know if we are doing a good job, or if there are areas where we can improve. Please take the time to fill out this short survey.

    1) The equipment and/or supplies were delivered on time.
    [radio question-1* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    2) The equipment was clean when delivered.
    [radio question-2* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    3) The equipment was in good working order when delivered.
    [radio question-3* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    4) The instructions were adequate for safe use of the equipment.
    [radio question-4* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    5) The staff was courteous and helpful.
    [radio question-5* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    6) The financial responsibilities about my bill were explained to me.
    [radio question-6* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    7) Overall the services I received were to my satisfaction.
    [radio question-7* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

    8) I would recommend your service to my friends and family.
    [radio question-8* use_label_element "Strongly Disagree" "Disagree" "Neutral" "Agree" "Strongly Agree"]

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    Would you like to talk about a product? Please contact us at 866.712.0881