PDSHeart - The Company You Deserve


Patient Survey

PDSHeart believes in taking a hard look at ourselves. We believe that by doing this we can see the company through your eyes. In our constant struggle to make this a better company please take time to fill out the following. Thank you for taking the time to send us the following information.

1. Overall quality of service.
Excellent
Very Good Good Fair Poor n/a

2. Convenience of our service.
Excellent
Very Good Good Fair Poor n/a

3. Training you received on the monitor from your physician's office.
Excellent
Very Good Good Fair Poor n/a

4. Training you received on the monitor by phone from PDSHeart technicians.
Excellent
Very Good Good Fair Poor n/a

5. Written materials (easy to read, complete and helpful).
Excellent
Very Good Good Fair Poor n/a

6. Attention given to your comments and concerns.
Excellent
Very Good Good Fair Poor n/a

7. Professionalism and courtesy of the PDSHeart staff.
Excellent
Very Good Good Fair Poor n/a

8. PDSHeart staff was knowledgeable and helpful regarding questions you had?
Excellent
Very Good Good Fair Poor n/a

9. Would you recommend PDSHeart to others who need this type of service?
Excellent
Very Good Good Fair Poor n/a

10. Comments: Please let us know about any experiences / incidents with PDSHeart (technicians, monitor, etc) that impressed or disappointed you. In addition, we highly value your comments and suggestions on areas of improvement and ways we can better serve our customers.

11. Optional Information

Name
Age
Phone
Email
Address
City
State
ZIP Code

12. I would like to be contacted regarding my comments:
Yes No




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