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P&O Solutions Patient Satisfaction Survey

1.Which option best describes your most recent appointment with us?(Required.)
2.Which of our locations did you visit?(Required.)
3.Upon arrival, how would rate our administrative staff?(Required.)
4.How comfortable was our waiting area?(Required.)
5.For your scheduled appointment, were you seen(Required.)
6.How were your financial obligations explained to you?(Required.)
7.Which provider(s) did you see? (check all that apply)(Required.)
8.Please rate the level of knowledge, care and attention you received from your provider.(Required.)
9.Did you discuss your goals and objectives related to your care with your provider?(Required.)
10.Did you receive your device(s) when your provider indicated you would?(Required.)
11.Were you given complete instructions on your equipment/care?(Required.)
12.How satisfied are you with your device(s)?(Required.)
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.)
14.Would you recommend our practice to your friends or family if they had a need for our services?(Required.)
15.Please rate your overall satisfaction with the care you received at our practice.(Required.)
16.Additional Comments or Feedback:
17.Please provide your contact information (if you wish to remain anonymous you may skip this):
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