Client Appointment Preference Survey

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As states begin to lift their "stay-at-home" and "shelter-in-place" orders we know we will experience a new normal, including continuation of no contact and limited contact evaluations and deliveries. We are committed to serving you and our employees in a safe manner, which is why we want to hear from you.

Click the button below to take a new, short survey and let us know what your appointment preferences are as we continue to evolve new ways to serve you in the post-COVID-19 climate.

Please note, because this survey is anonymous we are unable to schedule appointments or respond to any service needs through this form. Please contact your local NSM branch for any mobility or service needs.

What state do you live in? *

Do you anticipate needing an evaluation or service appointment with NSM in the next: *

1 Month

3 Months

6 Months

9 Months

1 Year

Not anticipating needing an appointment with NSM in the next year

Required

For your next appointment with NSM, what would your appointment preference be? *

Telehealth appointment

Appointment at a NSM location

Appointment at my home

Appointment at a seating clinic

Other:

Required

For your next appointment with NSM, would you be interested in a Saturday appointment? *

Yes

Required

Are you currently postponing scheduling an evaluation or service appointment with NSM due to COVID-19? *

Yes

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