Survey

*Note: All fields marked with an asterisk (*) are required.
Please provide us with your last name
Last Name
Please let us know when our Customer Service Technicians helped you.
*Date of Service
Please tell us which ProCare Customer Service Representative helped you. If you aren't sure, check the name on the business card he or she left behind.
ProCare Customer Service Rep
Did our technician help you set up new equipment, or was this for equipment you were already using?
*Was this for new equipment or help with existing equipment?
Did our Customer Service Professional deliver the equipment/supplies within the timeframe agreed upon?
*Equipment/supplies was delivered in a timely manner

Was the equipment ready for use by the time our Customer Service Representative left?
*Equipment/supplies was ready for patient use upon delivery

Did the Customer Service Representative provide you with clear and understandable instructions?
*Recieved and understood instructions

Do you feel comfortable and confident in the appropriate use of the equipment the ProCare has provided?
*Do you feel confident enough to operate/use equipment/supplies?

Did the ProCare Customer Service Representative provide you with copies of your Rights & Responsibilities, ProCare Complaint Process, billing information, list of contact phone numbers, and reasons to notify ProCare?
*Received the appropriate information

Did the ProCare Customer Service Representative address your questions or concerns in a timely and appropriate manner?
*Response to questions and/or concerns

Are you satisfied with the equipment/supplies provided by ProCare?
*Are you satisfied?

Would you recommend ProCare to friends and family?
*Would you reccomend us?
Please help us improve our service and our product line by telling us what we can do better. We appreciate your business as well as your feedback.
Additional Comments:

Please know that we take your privacy very seriously. The results of this survey will be held in confidence and used only as a tool to improve our service. We will never distribute your information to third parties. We truly appreciate your response, and we thank you for choosing ProCare as your medical equipment provider.

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ProCare Medical Equipment
195 S. Adkins Way,  Suite 107, Meridian, ID 83642
Toll Free: 866.633.5755  |  Fax: 208.322.8033