Medilink Homecare

	3 Great Companies Working to provide you the best in home medical care.
	MediLink RxCare for all your prescription needs
	Certified IV Nursing Education.

	Hemophilia Services.

Your satisfaction with our services is very important to us. Please complete this short survey by circling one answer for each of the following questions. Thank You.
1.	The staff explained what to expect during home care.
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2.	The staff allowed you to make decisions that affect your care.
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3.	The staff explained financial responsibility, insurance coverage, and cost (if any).
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

4.	The staff explained your right to have personal health information kept private.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

5.	The staff helped you if you complained about problems with our service.
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6.	The staff explained your rights and responsibilities.
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7.	The staff explained how to voice a complaint.
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8.	The medication(s) or supplies were delivered on time.
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9.	The equipment was clean when delivered.
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10.	The equipment remained in good working order.
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11.	The instructions were adequate for safe use of the equipment.
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12.	The instructions were adequate to teach you or your caregiver how to give the intravenous (IV) medication(s).
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13.	Your pain was adequately controlled most of the time.
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14.	The staff was respectful and courteous in your home.
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15.	You were told who to call if you had problems with your intravenous (IV) medications.
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16.	You had the supplies you needed to take your intravenous (IV) medication(s) on time.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

17.	You were satisfied with the response you received if you called for assistance on weekends or during evening hours.
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18.	You were satisfied with the timeliness of response to your billing or payment questions, problems, and concerns.
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19.	You received information about possible side effects caused by your intravenous (IV) medication(s).
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

20.	You were told what to do if the services were interrupted due to the weather or a natural disaster.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

21.	You received instructions on how to wash your hands and handle your supplies to prevent infection.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

22.	The services provided met your needs and expectations.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

23.	You were satisfied with the overall quality of care and services.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

24.	You would likely recommend the services to your family and friends.
	Strongly Agree Mostly Agree Neither Agree nor Disagree Mostly Disagree Disagree N/A

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463 North White Horse Pike | Hammonton, NJ 08037 | (609) 567-2241 | Fax: (609) 567-0503