100%
Exit Survey
 
 
How long have you been referring patients to Roberts Home Medical?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
How often do you refer patients to Roberts Home Medical?
Don't Use Daily Weekly Monthly Quarterly
 
 
 
Which products/services do you refer to Roberts Home Medical? (check all that apply)
 
Oxygen
 
Wheelchairs
 
Beds
 
CPAP/BiPAP
 
Nebulizers
 
Walkers, commodes, misc. DME
 
Other
    

 
 
 
Comment:
   
 
 
 
How would you rate your overall level of satisfaction Roberts Home Medical?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How do we rate on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Customer service experience
On-time delivery of service
Professionalism
Quality of service
Timeliness of delivery staff
Knowledge of staff
 
 
Comment:
   
 
 
 
How do we rate in comparison to other home medical equipment companies that offer the same or similar services?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
How likely are you to continue using our services?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
How likely are you to recommend Roberts Home Medical to a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you have any suggestions for improvement?