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Patient Satisfaction Survey
1.
Overall, how satisfied or dissatisfied are you with our company?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
2.
How would you rate the quality of your device?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
3.
How responsive have we been to your questions about our services?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
4.
How likely are you to use our services again?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
5.
My prosthesis/orhtosis is comfortable throughout the day
Strongly agree
Agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Disagree
Strongly disagree
Other (please specify)
6.
My skin is free of abrasions and irritations as it relates to my device
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Other (please specify)
7.
I waited a reasonable time to be seen in the clinic
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
8.
I was given the space to express any concerns I have
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
9.
I am satisfied with the training and instructions given to me on the maintenance of my device
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
10.
The staff coordinated well with my doctor's office
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Current Progress,
0 of 10 answered