Patient Satisfaction Survey
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1. Default Section
100%
1
. My appointment was scheduled in a reasonalble amount of time.
My appointment was scheduled in a reasonalble amount of time.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
2
. The person that scheduled my appointment was courteous and helpful.
The person that scheduled my appointment was courteous and helpful.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
3
. The Service Coordinators at the front desk were friendly and helpful.
The Service Coordinators at the front desk were friendly and helpful.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
4
. The device provided to me was delivered in a reasonable amount of time.
The device provided to me was delivered in a reasonable amount of time.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
5
. I found the fit and function of my Prosthesis/Orthosis satisfactory.
I found the fit and function of my Prosthesis/Orthosis satisfactory.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
6
. The appearance and workmanship of my Prosthesis/Orthosis is satisfactory.
The appearance and workmanship of my Prosthesis/Orthosis is satisfactory.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
7
. The practitioner who provided my services was knowledgeable and skillful.
The practitioner who provided my services was knowledgeable and skillful.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
8
. I received specific recommendations and/or instructions on the proper use and care of my device.
I received specific recommendations and/or instructions on the proper use and care of my device.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
9
. I was informed the cost/insurance coverage of my Prosthesis/Orthosis.
I was informed the cost/insurance coverage of my Prosthesis/Orthosis.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
10
. I would recommend Spears Prosthetics and Orthotics to others.
I would recommend Spears Prosthetics and Orthotics to others.
Strongly Disagree
Disagree
Agree
Strongly Agree and Recommend
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