CGM Feedback Survey

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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 our patient care!

Name*

First Last

Prior to your appointment, please rate how our Office Staff performed with the following:

Friendliness, professionalism, and helpfulness*

Ability to clearly explain how the process works*

Communication regarding the status of your order*

Responsiveness to questions or concerns*

The Office Staff reviewed my insurance benefits and out of pocket costs*

Were you reminded by our team to make a follow-up appointment with your provider?*

Yes

Was the order taken care of in a timely manner?*

Yes

On a scale of 1-10, where 1 is the lowest and 10 is the highest, how likely are you to recommend Quality DME to your family and friends?*

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Prior to your appointment, please rate how our Office Staff performed with the following:

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