"*" indicates required fieldsSince 2007, we have strived to provide the highest quality service for our patients and referring practices. Attached you will find our Provider Feedback Survey. Please take a moment to let us know how we’re doing. Your feedback is valuable to us and will help us improve all aspects of our company. We appreciate your time and for allowing Quality DME to care for your patients’ sleep and respiratory therapy needs. * RequiredFirst NameLast NamePractice NameReferring patients to Quality DME is convenient.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeContacting the right person at Quality DME is easy.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeThe Quality DME staff is responsive to our requests.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeOur overall experience with Quality DME is positive.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeOur patients are receiving equipment and initiating PAP Therapy promptly.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeQuality DME well educates our patients on PAP therapy.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeQuality DME fulfills our prescriptions as written to our satisfaction.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreePatients reliably schedule their follow up appointments with us once initiating PAP Therapy.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreePlease rate the satisfaction of your patients with our service.*ExcellentPretty goodNeutralNot so greatTerribleDo you find the confirmation faxes useful (Order Received, Order Scheduled, Order Completed, and Order Cancelled)?* Yes NoDo you have any additional comments or feedback to help us improve our quality of care?Don't miss out on important updates from Quality DME! Check this box then enter your email below to stay informed and receive the latest information that will be useful for you and your patients.EmailEnter Email
