1. Patient Satisfaction

* 1. Patients Name.

* 2. Please rate the professional manner in which our Practicioner presented himself.

* 3. How clear were the instructions on the care and use of your device?

* 4. Please rate overall fit, comfort, and quality of your device.

* 5. The amount of time our practicioner spent with you was sufficent to answer all of your questions and concerns.

* 6. Were you able to get a convenient appointment time and date?

* 7. How helpful was office personel in providing information?

* 8. Please rate your overall experience with ORTHOLOGIX.