Home Dealers Case Managers Insurance Companies Patients Patients Contact Us
August 19, 2008  
  
 


SATISFACTION SURVEY

HOMELINK appreciates hearing from you, we always look for ways to improve our services to our customers. Please fill in the blanks for the following items. Those items with a * are mandatory fields.
Your Location: *  
City:
State:

HOMELINK has called upon your business to provide the following:
(please check all that apply) *
 
Equipment
Supplies
Nursing Services
Custom Mobility Equipment
Orthotics and/or Prosthetics
Evaluations
Other:  
 

How often has HOMELINK called upon your business in the last 6 months? *
 





 

What percentage of the time have you been able to follow-through with the request called in by HOMELINK? *
 





 

If you answered less than 100% of the time, what would you attribute to your reason(s) that you were not able to fulfill the requests? Please check the most frequent reason.
  Due to the location of the patient
Due to not having the requested equipment in stock or ability to provide
        personnel in the patients home
Due to pricing inadequacies
Due to not offering the equipment or services requested
Due to the time frame of delivery of the request
Other:  

Please click on the box that best describes how HOMELINK performs in the following areas:
 
  Poor Fair Good Exceptional
1.) Professional, Courteous Employees
2.) Employees that are knowledgeable
3.) Timely forwarding of documentation
4.) Fairness of pricing as compared in the market
5.) Billing services
6.) Claims status information
7.) Follow-up services
Other comments and/or suggestions:
CAPTCHA Image This Is CAPTCHA Image
Write the characters in the image above

Thank you for taking the time to let us know how we can improve our service. Your feedback is important to us!

        
 

Conference Listings - Where HOMELINK will be attending this year.
Manufacturer Spotlight
Heartland Conference
HOMELINK U - Online continuing education for Case Managers