Skip to content

Durable Medical Equipment for Physicians

Metro: 469.698.0250 | Fax: 866.279.6774

1101 Ridge Road, Suite 201, Rockwall, TX 75087

Home
Products
How-To Videos
About dMedicus
Medicare
- Medicare Guidelines
- Medicare Policies
Contact Us
- Patient Survey
- Ordering Electrodes

Menu

Home
Products
How-To Videos
About dMedicus
Medicare
- Medicare Guidelines
- Medicare Policies
Contact Us
- Patient Survey
- Ordering Electrodes

Home » Contact Us » Patient Survey

Patient Survey

First and Last Name:

Age:

Gender:

Email:

Comments:

How would you rate your experience with your dMedicus sales rep? (1 being worst and 5 being best)

1 2 3 4 5

Do you understand how to use and operate your equipment? (1 being worst and 5 being best)

1 2 3 4 5

How would you rate the quality of our product? (1 being worst and 5 being best)

1 2 3 4 5

Are you satisfied with your experience with dMedicus? (1 being worst and 5 being best)

1 2 3 4 5

Was the follow up with your sales rep satisfactory? (1 being worst and 5 being best)

1 2 3 4 5

How often do you use your equipment? (1 being worst and 5 being best)

1 2 3 4 5

Orthofix Distributor

© 2024 dMedicus. All Rights Reserved.