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
Doctor's office / hospital
My hook-up took place at:
Rate our service level
General satisfaction with Preventice Services
Ability to get through on the phone
Explanations given to hook up your monitor
Amount of time the representative spent with you
Rate the contents of the materials
Printed instruction manual included in your box
Home
Physician's office
PATIENT SURVEY
City
Contact me via:
Phone
Email
Excellent
Average
1
2
1
2
State
Not
Poor
applicable
3
4
3
4
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