Customer Satisfaction Form

You are here:

Home
About IRS
Online Forms
Customer Satisfaction Form

Let us know what you think about your experience with IRS.

How likely is it that you would recommend IRS to a friend or colleague?*
Not Very Likely Not Likely Neutral Likely Very Likely
Rate Your Experience With IRS*
Please select a rating below. A 10 would reflect an amazing experience whereas a 0 would reflect a not so nice experience.
0 1 2 3 4 5 6 7 8 9 10
What is the primary reason for the score you gave us?*
IRS Branch*
Please select the IRS Branch that you visited in regard to this Customer Satisfaction Form.
IRS Employee Name
If you would like to identify the IRS Employee that was really helpful to you, feel free to type their name here.
Comments
This field is for validation purposes and should be left unchanged.

Quick Respiratory Links

Learn More About Sleep Apnea

Learn More About CPAP Therapy

Learn More About Oxygen Therapy

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.

Necessary

Always Enabled

Necessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously.

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Others