Surgical Store Customer Survey - Dome Technology Solutions LLC

Form Template

This customer survey/feedback form is ideal for anyone in the medical supplies business.

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The questionnaire takes 3 minutes to complete, but asks for important product and service feedback on areas such as timeliness of returned calls, the professionalism and accuracy of the fitter, the quality of the merchandise and whether the user was given thorough instructions for how to use their equipment. An open field for comments is included, as well as a date and time stamp. This app is an excellent way for your medical supplies business to get real-time feedback and make any adjustments necessary to ensure the patient is taken care of and your business is well run. Once the patient completes the survey, a PDF is created and stored in your GoCanvas account for easy accessing and evaluation. The contents of this app are a template - you can use them as-is, or customize them using GoCanvas's 'drag and drop' App Builder Tool.

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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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