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QualityDME

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ReorderSupplies

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What equipment was supplied to you?

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Thank you for taking a few minutes out of your day to share your experience with us. Your feedback is incredibly valuable as we continue to improve patient care!
   

* Required

Name*
Prior to receiving your PAP machine, did our office staff effectively communicate the process of getting your device?*
Was the scheduled delivery of your equipment within an acceptable time frame?*
Do you understand the usage requirements set forth by your insurance company?*
Do you understand your out of pocket costs with ongoing PAP therapy?*
Did the Setup Technician educate you effectively on the proper use and maintenance of your device?*
Did the Setup Technician explain to you the Sleep Coach program?*
Did the Setup Technician explain the Resupply process?*
Did our team remind you to schedule a follow-up appointment with your provider?*
Would you recommend Quality DME to your friends and family?*
On a scale of 1 to 10, how would you rate your overall experience with Quality DME?*
With 1 being very dissatisfied and 10 being extremely satisfied

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Thank you for taking a few minutes out of your day to share your experience with us. Your feedback is incredibly valuable as we continue to improve patient care!
   

* Required

Name*

Please answer the following questions regarding your recent experience as a New Supplies Patient.

Was our staff professional?*
Did our staff resolve your inquiries?*
Was our communication about your order status clear?*
Do you understand how insurance benefits cover supply costs?*
Do you understand how to get CPAP supplies in the future?*
Would you recommend Quality DME to your friends and family?*
On a scale of 1 to 10, how would you rate your overall experience with Quality DME?*
With 1 being very dissatisfied and 10 being extremely satisfied

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