*Note: All fields marked with an asterisk (*) are required.
Please provide us with your last name
Please let us know when our Customer Service Technicians helped you.
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.
Did our technician help you set up new equipment, or was this for equipment you were already using?
Did our Customer Service Professional deliver the equipment/supplies within the timeframe agreed upon?
Was the equipment ready for use by the time our Customer Service Representative left?
Did the Customer Service Representative provide you with clear and understandable instructions?
Do you feel comfortable and confident in the appropriate use of the equipment the ProCare has provided?
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?
Did the ProCare Customer Service Representative address your questions or concerns in a timely and appropriate manner?
Are you satisfied with the equipment/supplies provided by ProCare?
Would you recommend ProCare to friends and family?
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.

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.