Name * First Name Last Name Date of service How would you rate the professionalism and courtesy of our staff? Were your questions and concerns addressed promptly? Was it easy to reach our customer service team? Did the equipment/services meet your needs as prescribed by your healthcare provider? Was the equipment in good working condition upon delivery? Did the delivery personnel explain how to use the equipment properly? Was the product/equipment delivered within the promised timeframe? Would you recommend our company to others needing DME services? Do you have any suggestions for how we can improve our services? Thank you! Patient Satisfaction Survey Thank you for your time and feedback! If you have any further concerns, please contact our customer service department at: (256) 829-2580 or email us at : RenewMedAL@GMAIL.COM