Customer Survey Customer Satisfaction Survey Question Title * 1. Patient Information Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Question Title * 2. How satisfied were you with the knowledge of the employee(s) you talked with regarding products, services, and/or any reimbursement or payment information? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 3. How satisfied were you with the quality of the orthopedic braces you received? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 4. If you had any questions, complaints or concerns regarding our products, services or delivery, how satisfied were you with our handling of your concerns? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 5. How satisfied were you in understanding that Motion Medical would bill you and/or your insurance carrier separately for the bracing (orthopedic device/brace) your doctor prescribed for you? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 6. How satisfied were you that our billing statement was easy to read and understand? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 7. How satisfied were you that your insurance was billed correctly and in a timely manner? Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Very dissatisfied Dissatisfied Neither Satisfied Very satisfied Question Title * 8. Would you be willing to recommend Motion Medical to another friend or family member who may need orthopedic bracing or medical equipment? Would not recommend Not likely Maybe Likely Very likely Would not recommend Not likely Maybe Likely Very likely Question Title * 9. Please share any comments, feedback or suggestions for improving our service and our company. Next