Please check the devices you received from Corr Medical Solutions: TENSNMESIFCElectrodes/SuppliesConductive garmentROM SplintLSOTractionOther
If you selected "Other" above, please specify:
Was the equipment/service provided in a timely manner? YesNo
Do you feel that you were well-instructed on your equipment/care? YesNo
If you had any questions, do you feel that they were answered to your satisfaction? YesNo
Was the staff courteous, knowledgeable and professional? YesNo
Were you given contact information and instructed who to call with questions or problems? YesNo
Were you satisfied with your equipment/service? YesNo
Would you recommend Corr Medical Solutions to others? YesNo
If you selected "No" to recommending Corr Medical Solutions, please tell us why:
Please check the following forms that you received: HIPAA NoticeWarranty/Return PolicyContact NumberRights/ResponsibilitiesInstructionsSatisfaction SurveyCMS StandardsComplaint Policy
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