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Customer Satisfaction Survey - CHM

Customer Satisfaction Survey

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(Don't fret, this section is hidden from surey takers)
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!)
012345678910
4. Please rate the employees at CHM in the following areas:
Click on the number of stars to rate each item - 5 stars is best!
Space Cell Rating
Promptness
Courtesy
Efficiency
Expertise
Enthusiasm
Professionalism
5. Is your rating above based on the customer service representative, respiratory therapist, delivery driver and/or manager? (Select all that apply.)
6. If you visited our store, please rate your experience at CHM in the following areas:
Click on the number of stars to rate each item - 5 stars is best!
Space Cell Rating
Cleanliness of the store
Products easy to locate.
Selection of products.
Availability of products.
7. 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
8. Were the products/services you requested explained in a satisfactory manner? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
9. If filing insurance, was it explained in a satisfactory manner? 
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
11. Thank you for taking the time to complete this survey! If you would like to be entered in our monthly drawing*, please complete the following:
*We will be drawing one entry each month, randomly, to win a coupon for $20 off your next purchase (excludes insurance billable items). For official rules, visit http://realodiscountdrug.com/sweepstakes.htm.
This question requires a valid email address.