1. How often do you refer your patients to Bedard?

Select... Every day A few times a week Occasionally Never

2. How would you rate our products?

Select... Consistent high quality Generally good Quality varies Poor Quality

3. What do typically refer to?

Select... DME Medical supplies Rehab equipment Diabetic supplies Transitions at Bedard Pharmacy

4. Would you be interested in an in service on the products we provide?

Select... Yes Maybe No

If yes, please list:


5. How do you find the ordering process at Bedard Medical?

Select... Very easy Manageable Challenging Very hard

6. Are there other products or services you would like to see Bedard Medical provide?

Select... Yes Maybe No

If yes, please list:


7. How would you rate the staff?

Select... Friendly and helpful Average Varies on each visit Poor service

Additional Comments: