CLIENT/PATIENT SATISFACTION SURVEY

Name:

City:

State:

It is our desire to provide you with the best quality products and service possible. You are the most important part of our business and your valuable input will help us identify and improve areas of our service, so that we can meet your needs in the future. Please take a few moments and share your thoughts and suggestions with us. Armac greatly appreciates your time and cooperation in returning this survey.

Regarding Armac Inc
- Extremely Satisfied
- Satisfied
- Dissatisfied
- Extemely Dissatisfied
- Services/Equipment were provided in a timely manner
- My home care needs were met through the services/equipment provided
- The staff discussed my rights and responsibilities
- The staff discussed my financial obligations
- The staff informed me how to contact the office during and after hours
- I would utilize/recommend Armac Inc to my friends or family
Regarding The Staff Of Armac Inc
- Extremely Satisfied
- Satisfied
- Dissatisfied
- Extemely Dissatisfied
- The representatives were courteous and professional
- Explanations and instructions offered by representatives were adequate
- All procedures/services were explained prior to performing them
- Equipment was delivered clean and in good working order
- My personal property was treated with respect

Comments:

How did you hear about Armac?

Other:

If survey is filled out over the phone, please complete the following information:

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