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Customer Satisfaction Survey

THANK YOU for your recent business with Affordable Medical Supplies! Your satisfaction with our service is very important to us.

Please let us know if we are doing a good job, or if there are areas where we can improve.

Please take the time to complete and submit this survey.

Please choose your response for each of the following questions.

The equipment and/or supplies were available on time.
The equipment was clean and in good condition.
My questions and/or concerns were answered appropriately.
The instructions were adequate for safe use of the equipment.
The staff was courteous and helpful.
Financial responsibilities about my bill were explained to me.
Overall, the services I received were to my satisfaction.
I would recommend your service to my friends and family.
Date of service
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