Monroe Wheelchair Logo 2

Monroe Wheelchair Survey
1.

Your satisfaction with our service is very important to us. Please fill in one answer for each of the following questions.
 Not Applicable Disagree Mostly Disagree Neither Agree or Disagree Mostly Agree Strongly Agree 
I received the equipment when I was told to expect it.
The instructions were adequate for safe use of the equipment.
The equipment has remained in good working order.
I was given options and involved in selecting the equipment I received.
The equipment helped me to do more things for myself.
I was told who to call if my equipment stopped working properly.
The staff was courteous and helpful.
The services you provided met my needs and expectations.
I would recommend your service to my friends and family.
I found your company website (www.monroewheelchair-
.com) helpful and easy to navigate.
2.

Patient rights and responsibilities were adequately explained to me.

Yes
No
3.

My financial responsibilities for the service and/or equipment were adequately explained to me.
Yes
No
4.

Please give us suggestions to improve our services:
 

  • 350 characters left.
5.

Please enter your email address below if you would like to start receiving our quarterly e-newsletters with the latest equipment information, company updates, and coupons.


By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
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