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Boundless Bracing Orthotic Quality Assurance Tool

This survey aims to collect data about the perceived quality of the orthotic devices. By entering data you agree to allow the data to be used for the research or teaching. No identifying information will be made public in either research or teaching.

1.User name (optional)

2.What is your profession?

3.How long have you worked in Orthotics (in years)?

4.Are you a graduate of an accredited education program?

5.What type of setting do you work in?

6.What province do you work in

7.Please rank the following with respect to the plastic shell;

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the plastic type correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the plastic thickness correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Does the plastic architecture meet design specifications?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Rate the quality of the plastics surface.

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Does the device show signs of deformation (eg. shrinkage or expansion)

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Do the trimlines meet the criteria provided?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

8.Additional comments about plastic (optional).

9.If there is NO Componetry (ie. joints or metal uprights) in the device please proceed to question 12.
If the device does include Componentry please rank the following;

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Does the componentry meet design specifications?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the placement/location of componentry correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the installation of componentry correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the alignment of componentry correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the metal work appropriate (eg. material selection, contouring and/or finishing)?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

10.Comments about Componentry (optional).

11.Rank the following with respect to the Strap/s;

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Does the strap/s meet design specifications

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the position of strap/s correct

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the length of strap/s correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the orientation/direction of strap/s correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Are the strap/s attached correctly?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

12.Comments about Strap/s (optional).

13.With respect to the design specification of any Additions (eg. padding, wedges, fillers etc.) please rank the following;

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the placement/ location correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the installation correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Do additions meet measurements provided?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Are fasteners/adhesion appropriate?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the quality of the transition between materials appropriate?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

14.Comments about Additions (optional).

15.Rank the following with respect to the finishing quality of the device;

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Edges and trimlines ...etc

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Cosmesis

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Cleanliness

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Transfer quality

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Rivets

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Sewing

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

Is the overall alignment correct?

1 Poor

2 Fair

3 Acceptable

4 Good

5 Excellent

N/A

16.Additional comments about finishing quality (optional).

17.Is this device appropriate to be dispensed?

Yes

No

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