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Parachute - Online Referral

Branch who served you

What Type of Service or Equipment are you receiving from Norco?

Were you provided with a Patient Orientation Handbook at the time of set-up?

Were you satisfied with the training you received from Norco?

If no, please describe

Billing

Have you had any billing questions or concerns?

If other, please describe

Were your questions or concerns adequately addressed?

Delivery

Are the deliveries made to your home

If Yes, have your deliveries been timely

If No, was the delivery issue resolved to your satisfaction?

If no, please describe

General Experience

Please rate your understanding of your financial responsibility when you received your equipment or supply item?

How would you rate the courtesy and friendliness of our staff?

Overall, how would you rate our service?

How likely are you to keep us as your regular supplier given our current performance?

How likely are you to refer us to other potential customers?

What are the things we do best?

What are the areas where we should improve?

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