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Customer Satisfaction Survey - CHM

Customer Satisfaction Survey

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We would like to know about your experience with Carolina Home Medical in an effort to continuously improve our services. We appreciate your time and feedback!
 
2. How did you hear about Carolina Home Medical?
3. Based on our customer service, how likely are you to recommend CHM to a friend or colleague? (0-Not Likely at All, 10-I tell everyone about CHM!)
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Please rate the employees at CHM in the following areas:
4. Promptness
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
5. Courtesy
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
6. Efficiency
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
7. Expertise
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
8. Enthusiasm
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
9. Professionalism
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
10. Are your ratings above based on the customer service representative, respiratory therapist, delivery driver and/or manager? (Select all that apply.)
If you visited our store, please rate your experience at CHM in the following areas:
11. Cleanliness of the store
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
12. Products easy to locate
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
13. Selection of products
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
14. Availability of products
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
15. How satisfied were you with the time it took to serve you and/or help with any other services you required? 
Not at all SatisfiedNot very SatisfiedFairly SatisfiedVery Satisfied
16. Were the products/services you requested explained in a satisfactory manner? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
17. If filing insurance, was it explained in a satisfactory manner? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
19. Thank you for taking the time to complete this survey!
This question requires a valid email address.