1. Please rate the following characteristics of your Sales Representative: Product Knowledge Excellent Very Good Good Fair Poor Courteousness: Excellent Very Good Good Fair Poor Clear Understanding of Your Needs: Excellent Very Good Good Fair Poor Responsiveness: Excellent Very Good Good Fair Poor Comment 1 2. What products or services did you purchase? (check all that apply) Roam Alert Wandering Resident Security System by Stanley Healthcare Solutions CarePoint Emergency Response System by Philips Lifeline Hugs Infant Security Systemby Stanley Healthcare Solutions Kisses Mother/Infant Matching System by Stanley Healthcare Solutions Pedz Pediatric Protection System by Stanley Healthcare Solutions MyCall System by Stanley Healthcare Sollutions Micro-Tech Fall Prevention Systems for the bed and chair SystemSURE Plus (Advanced Rapid ATP Hygiene Monitoring System) by Hygiena Situational Awareness & Response Assistant (S.A.R.A.) by Status Solutions Other Comment 2 3. How did the product/service pricing compare with the value you received? Excellent Very Good Good Fair Poor Comment 3 4. Did we process your order/request in a timely manner? Yes No N/A Comment 4 5. Did we keep you informed of progress and/or delays? Yes No N/A Comment 5 6. Did our field personnel complete all tasks in a reasonable amount of time? Yes No N/A Comment 6 7. Did our field personnel seem knowledgeable in what they were doing? Yes No N/A Comment 7 8. How likely are you to buy from us again? Always Likely Always Very Likely Not So Likely Never Comment 8 9. How likely are you to recommend our products/services to others? Always Likely Always Very Likely Not So Likely Never Comment 9 10. How likely are you to recommend our company to others? Always Likely Always Very Likely Not So Likely Never Comment 10 11. How would you rate the service you received from TKA? Excellent Very Good Good Fair Poor Comment 11 12. How would you rate your TKA purchasing experience? Excellent Very Good Good Fair Poor Comment 12 13. On a scale from 1 - 10 with 10 being the best please provide your overall rating of TKA. 10 9 8 7 6 5 4 3 2 1 Comment 13   If you would like us to contact you please enter your contact information below. Name: Phone: Email: Address City State Zip In an effort to combat spam and automated submissions please enter the number shown in the image below: Security code:   * Do not enter anything in this field: