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HME drive thru headset and belt pack repair

Customer Information

Company:
Contact:
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Date:
Address:
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National Store # :
Store Type: Franchise Corporate
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Equipment Repair Survey

Equipment Model:
Was the repair clean orderly & accurate? Yes No
Were you satisfied with the repair quality? Yes No
Were all the accesories returned with the repair?
(Ear pads, etc) 		Yes No
Do you feel the repair was completed in a timely manner? Yes No
If you took the time to visit the online support area, did you find it user friendly and helpful? Yes No
Please Rate Your Overall Experience Excellent
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