Call Us : 1-800-633-8977
vep@kgh.kari.net

Client Satisfaction Survey

Provide Your Feedback

Please Select One of the Following:(required)
I am a client of the VEPI am a clinician/prescriberI am a caregiver

In thinking about your most recent experience with the VEP,

1. Was the overall quality of the service(2) you received:

2. Was the response time to your concerns:

3. Please rate the quality of the after-hours service:

4. How would you rate the service provided by the home respiratory therapist including thoroughness of explanations and knowledge?:

5. Please rate the condition, cleanliness and reliability of the Equipment:

I would like the manager to contact me with regards to this survey (if this is selected you will be required to submit your name and contact information below).

Your Name:

Email Address:

Telephone Number:

Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.

If you have any comments or concerns about this survey please contact:

Ventilator Equipment Pool
Regina Pizzuti, RRT Manager
640 Cataraqui Woods Drive, Unit 6
Kingston, Ontario
K7P 2Y6

Toll Free in Ontario:  1-800-633-8977 or 613-548-6156
Email:  pizzutir@kgh.kari.net