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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
Patient Name
City
State
My hook-up took place at
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home
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Physician’s office
Doctor’s office/hospital
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Contact me via:
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Phone
Rate the contents of the materials
1
2
3
4
Printed Manual included in your box
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Educational videos if you visited the patient Website section
http://preventicesolutions.com/patients.html
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Excellent
Average
Poor
Not
applicable
Rate our service level
1
2
3
4
General Satisfaction with Preventice Services
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Ability to get through on the phone
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Attention given to your comments
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Knowledge, professionalism and courtesy of representatives
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Explanations given to hook up your monitor
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Amount of time the representative spent with you
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Patient Survey
