Thank you for time in filling out our survey. Your input is very valuable.

Please rate each item on a scale from 1 - 5.

Sincerely,
Kirk Heinz


Our customer service phone staff were courteous and polite.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

Our delivery arrived at your home within the promised time frame.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

Your order was complete when you received it.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

Our delivery staff were respectful of your home and belongings.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

We were able to supply all of the products/services you need.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

Our driver left you with clear written instructions of how to use your equipment and how to reach our office during office hours and afterwards.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

You are aware of all of the products and services we provide.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

You would refer us to your family or friends for medical supplies and medical equipment services.
- N/A = Not Applicable - You did not have this service and cannot rate it
- 1 (Strongly Disagree)
- 2 (Do Not Agree)
- 3 (Somewhat Agree)
- 4 (Agree)
- 5 (Strongly Agree)

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