Team Makena: Compliance - Patient Survey

Your doctor referred you to Team Makena because of our quality medical equipment and our commitment to patient satisfaction. Our goal is to make sure that our equipment and the service you receive are beneficial and helpful to you.

When you have a question or need assistance, please call 949.474.1753.

Please complete this Patient Care Survey so we may evaluate our products and services and better understand the needs of our patients. Thank you for allowing Team Makena to assist you during your recover and rehabilitation.

Patient Care Survey

     Patient's Name:

     Patient's Email:


1. Equipment Type:


2. How long have you been using the equipment?:


3. Equipment Delivery Time?:


4. Equipment clean and in working condition?:


5. Your comfort level using the equipment?:


6. My calls and questions were promptly answered?:


7. The technician was helpful in explaining equipment use?:


8. The technician was courteous at all times?:


9. Overall satisfaction level?:


10. Additional Comments: