|AFFINITY MEDICAL SUPPLY
Patient Satisfaction Survey
Your satisfaction with our service is very important to us. We need your help by letting us know if we are doing a good job, or if there are areas where we can improve. Please take the time to fill in this short survey.
Choose one answer for each of the following questions on a scale of 1-5 Strongly Disagree to Strongly Agree.
1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 5 = Strongly Agree.
Affinity Medical Supply • Hwy. 82-62 • Wolfforth, TX 79382 • (806) 771-0335