"*" indicates required fields Since 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 Name Last Name Practice Name Referring patients to Quality DME is convenient.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeContacting the right person at Quality DME is easy.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeThe Quality DME staff is responsive to our requests.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeOur overall experience with Quality DME is positive.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeOur patients are receiving equipment and initiating PAP Therapy promptly.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeQuality DME well educates our patients on PAP therapy.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeQuality DME fulfills our prescriptions as written to our satisfaction.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreePatients reliably schedule their follow up appointments with us once initiating PAP Therapy.*Strongly DisagreeDisagreeNeutralAgreeStrongly AgreePlease rate the satisfaction of your patients with our service.*TerribleNot so greatNeutralPretty goodExcellentDo you find the confirmation faxes useful (Order Received, Order Scheduled, Order Completed, and Order Cancelled)?* Yes No Do you have any additional comments or feedback to help us improve our quality of care?
