Health Complex Medical

Health Complex Medical

84 Progress Lane
Waterbury, CT 06705
888.575.7778

Referral Feedback Form

Thank you for taking time to complete this short customer satisfaction survey!

    • Hospital
    • Long Term Care or Assisted Living
    • Home Health
    • Physician Practice
    • Outpatient Setting
    • School Base
    • Health Plan
    • Case Manager or Social Worker
    • Nurse or Physician Assistant
    • Physical therapist
    • Occupational Therapist
    • Physician
    • 6 months or less
    • 6 months to 2 years
    • 2 years to 5 years
    • 5 years to 10 years
    • 10 years or more
    • Because of a contract agreement
    • Because of the location of the company
    • Because of the Company Representative
    • Because of the outstanding overall service
    • Because of the product-line we offer
    • Very Satisfied
    • Satisfied
    • Neither
    • Dissatisfied
    • Very Dissatisfied
    • Very Satisfied
    • Satisfied
    • Neither
    • Dissatisfied
    • Very Dissatisfied
    • Very Satisfied
    • Satisfied
    • Neither
    • Dissatisfied
    • Very Dissatisfied
    • Very Satisfied
    • Satisfied
    • Neither
    • Dissatisfied
    • Very Dissatisfied
    • Very Satisfied
    • Satisfied
    • Neither
    • Dissatisfied
    • Very Dissatisfied
    • No
    • Yes
    • Very willing
    • Willing
    • Possibly
    • Unwilling
    • Very Unwilling

While it is optional for you to share with us your name, email and phone number, we sincerely hope you will. This will allow us the opportunity to possibly learn more about your comments and hear directly about what you liked most about our company, as well as how you believe we can improve.

Our mission is to provide you with outstanding quality service. We are dedicated to providing the best customer service, and contacting you directly is often an important part of our education, training and continuous quality improvement program.

Please provide your contact information:

Thank you for your time and we are very appreciative of your help. We hope you will come back and visit our MEDCOMMENT CENTER again when you have suggestions or comments about ways we can improve our business and our service. You can always call us directly with your suggestions and comments at 888.575.7778.