Hausted Patient Handling Services, LLC

Thank You

… For participating in this survey by Hausted^® Patient Handling Systems, LLC.

Please take a moment to fill out and submit this questionnaire. Your answers will help us to better serve you
and others who will purchase Hausted^® products in the future.

NAME

TITLE

DEPARTMENT

FACILITY NAME

ADDRESS

CITY

STATE

ZIP

PHONE

MODEL

SERIAL # Add Serial #

DATE IN USE

Questions

1. Overall, how satisfied were you with your Hausted^® experience?

2. How satisfied were you with your Hausted^® sales representative & their knowledge of the Hausted^® product?

3. Were you satisfied with the timeliness and accuracy of information you requested from the Hausted^® sales representative? Yes No

4. Was the Hausted^® product delivered on time & on the promised date? Yes No

If no, please explain:

5. When your Hausted^® product was received, was it accurate? Yes No

If no, please explain:

6. Did you receive a Hausted^® Operator’s Manual with your product? Yes No

If no, who may we contact to send your Hausted^® Operator’s Manual:

7. Was your Hausted^® product received damaged? Yes No

If yes, please explain:

8. Did you receive in-servicing on your product? Yes No

9. Was the in-servicing/training of the product clear and sufficient for immediate operation? Yes No Non-Applicable

10. After receiving your order, did you have to contact your Hausted^® sales representative or Hausted^® directly for an issue? Yes No

11. If you have contacted Hausted^® directly, did you receive prompt attention to your needs? Yes No Non-Applicable

12. Did you have to contact Hausted^® more than once to resolve your issue? Yes No Non-Applicable

13. Have you, for any reason, had to contact Hausted^® Service Department? Yes No

14. If the Hausted^® Service Department was contacted, was your call answered or returned in a timely manner? Yes No Non-Applicable

15. If a warranty call was placed, did the Hausted^® service technician visit your facility in a timely manner? Yes No Non-Applicable

16. Were the repairs made to your satisfaction by a Hausted^® Service Technician? Yes No Non-Applicable

17. Did a Hausted^® Service Technician need to return for any reason? Yes No Non-Applicable

18. Have you had an opportunity to visit the Hausted^® website and review the product information? Yes No

19. Was the Hausted^® website helpful and user friendly?

20. Please offer any additional comments regarding your Hausted^® experience in the space provided:

21. Would you like to be contacted by a Hausted^® representative? Yes No

Preferred means of contact?:
Phone Email

HAUSTED^® PATIENT HANDLING SYSTEMS, LLC

2511 MidPark Road Montgomery, AL 36109 Toll Free 877.706.5151 Main 334.215.5151 Fax 334.215.5150

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Hausted Patient Handling Systems, LLC

Thank You

Questions

HAUSTED^® PATIENT HANDLING SYSTEMS, LLC

WHAT ARE YOUR NEEDS?

Hausted Patient Handling Systems, LLC

Thank You

Questions

HAUSTED® PATIENT HANDLING SYSTEMS, LLC

WHAT ARE YOUR NEEDS?

HAUSTED^® PATIENT HANDLING SYSTEMS, LLC