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September 6, 2010  
  

 

Dedicated service
direct numbers

Worker's Compensation &
Catastrophic Care
800-571-2943

Group Health
800-482-1993

Transportation
866-496-3580
 

SATISFACTION SURVEY
HOMELINK appreciates the opportunity to hear your suggestions and about the experiences that you have had with us. Please fill in the blanks for the items below. Those marked with a * are a mandatory field.
Your Location: *  
City:      State:
I have called upon HOMELINK to coordinate:
(please check all that apply) *
 
DME Equipment
Nursing and/or patient evaluation services
Sleep study evaluations and/or monitors
Custom Mobility Equipment
Orthotics/Prosthetics
Supplies, i.e. wound or post-surgical
Medications/Pharmaceuticals
Transportation
Other:  
In the past 6 months I have called upon HOMELINK: *
 





 
Mark the box that best describes the service that you have generally received:
 
  Poor Fair Good Exceptional
1.) Staff were professional and knowledgeable
2.) Staff followed-through as needed in a timely
     manner
3.) Timely forwarding of necessary documentation
4.) Staff were courteous
5.) Communications are clear and concise
6.) Trustworthy to follow-through as planned
7.) dealers chosen are reliable, professional and
     prompt
8.) Patient care is number one priority
9.) Fully attentive to your needs and requests
10.) Complaints and/or concerns have been
       addressed in a timely manner
Other comments and/or suggestions:
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Thank you for taking the time to let us know how we can improve our service. Your feedback is important to us!

        

 

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Heartland Conference
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