Question Title

* 1. Which option best describes your most recent appointment with us?

Question Title

* 2. Which of our locations did you visit?

Question Title

* 3. Upon arrival, how would rate our administrative staff?

Question Title

* 4. How comfortable was our waiting area?

Question Title

* 5. For your scheduled appointment, were you seen

Question Title

* 6. How were your financial obligations explained to you?

Question Title

* 7. Which provider(s) did you see? (check all that apply)

Question Title

* 8. Please rate the level of knowledge, care and attention you received from your provider.

Question Title

* 9. Did you discuss your goals and objectives related to your care with your provider?

Question Title

* 10. Did you receive your device(s) when your provider indicated you would?

Question Title

* 11. Were you given complete instructions on your equipment/care?

Question Title

* 12. How satisfied are you with your device(s)?

Question Title

* 13. For Amputees Only: How comfortable is your socket if it was fabricated by P&O Solutions? (If you are currently wearing a socket made by another company, please skip this question.)

Question Title

* 14. Would you recommend our practice to your friends or family if they had a need for our services?

Question Title

* 15. Please rate your overall satisfaction with the care you received at our practice.

Question Title

* 16. Additional Comments or Feedback:

Question Title

* 17. Please provide your contact information (if you wish to remain anonymous you may skip this):

Share
0 of 17 answered
 

T