
23
PATIENT SURVEY
We appreciate your feedback. Please return this survey inside the box once your study is completed.
This survey can also be completed online at:
www.preventicesolutions.com/patients/patient-survey.html
Rate our service level
1
2
3
4
General satisfaction with Preventice Services
Ability to get through on the phone
Attention given to your comments
Knowledge, professionalism and courtesy of representatives
Explanations given to hook up your monitor
Amount of time the representative spent with you
Rate the contents of the materials
1
2
3
4
Printed instruction manual included in your box
Educational videos on the Preventice website
(www.preventicesolutions.com/patients.html)
Excellent
Not
applicable
Poor
Average
Patient name
City
State
Doctor's office / hospital
My hook-up took place at:
Home
Contact me via:
Phone
Physican's office
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