Patient Feedback on Prosthetic Service Provider EnableNSW is seeking consumer feedback to rate patient satisfaction with Prosthetic Service Providers. Please fill in your responses below. Question Title * 1. Clinic Attended? Question Title * 2. Name of Prosthetic Service Provider APC Albury Prosthetics and Orthotics Service APC Hunter Appliance and Limb Centre Hunter Prosthetics and Orthotics Service Northern Prosthetics Premier Prosthetics Reed Prosthetics Southern Prosthetics and Orthotics Question Title * 3. Please indicate your level of satisfaction with each statementTechnical Skills Strongly Disagree Disagree Agree Strongly Agree My prosthetist checks my leg thoroughly My prosthetist checks my leg thoroughly Strongly Disagree My prosthetist checks my leg thoroughly Disagree My prosthetist checks my leg thoroughly Agree My prosthetist checks my leg thoroughly Strongly Agree My prosthetist is not able to discuss my prosthetic needs with my treating doctor My prosthetist is not able to discuss my prosthetic needs with my treating doctor Strongly Disagree My prosthetist is not able to discuss my prosthetic needs with my treating doctor Disagree My prosthetist is not able to discuss my prosthetic needs with my treating doctor Agree My prosthetist is not able to discuss my prosthetic needs with my treating doctor Strongly Agree My prosthetist understands what is wrong when I have a problem with my limb My prosthetist understands what is wrong when I have a problem with my limb Strongly Disagree My prosthetist understands what is wrong when I have a problem with my limb Disagree My prosthetist understands what is wrong when I have a problem with my limb Agree My prosthetist understands what is wrong when I have a problem with my limb Strongly Agree I am happy with the fit of my prosthesis I am happy with the fit of my prosthesis Strongly Disagree I am happy with the fit of my prosthesis Disagree I am happy with the fit of my prosthesis Agree I am happy with the fit of my prosthesis Strongly Agree Question Title * 4. Information Giving Strongly Disagree Disagree Agree Strongly Agree My prosthetist cannot answer all my questions My prosthetist cannot answer all my questions Strongly Disagree My prosthetist cannot answer all my questions Disagree My prosthetist cannot answer all my questions Agree My prosthetist cannot answer all my questions Strongly Agree I have confidence in the information provided by my prosthetist I have confidence in the information provided by my prosthetist Strongly Disagree I have confidence in the information provided by my prosthetist Disagree I have confidence in the information provided by my prosthetist Agree I have confidence in the information provided by my prosthetist Strongly Agree I rely on my prosthetist to give me the right information I rely on my prosthetist to give me the right information Strongly Disagree I rely on my prosthetist to give me the right information Disagree I rely on my prosthetist to give me the right information Agree I rely on my prosthetist to give me the right information Strongly Agree Question Title * 5. Interpersonal Manner Strongly Disagree Disagree Agree Strongly Agree My prosthetist is always in a hurry My prosthetist is always in a hurry Strongly Disagree My prosthetist is always in a hurry Disagree My prosthetist is always in a hurry Agree My prosthetist is always in a hurry Strongly Agree I feel that my prosthetist listens to me when I have concerns about my limb I feel that my prosthetist listens to me when I have concerns about my limb Strongly Disagree I feel that my prosthetist listens to me when I have concerns about my limb Disagree I feel that my prosthetist listens to me when I have concerns about my limb Agree I feel that my prosthetist listens to me when I have concerns about my limb Strongly Agree My prosthetist includes me in decision making My prosthetist includes me in decision making Strongly Disagree My prosthetist includes me in decision making Disagree My prosthetist includes me in decision making Agree My prosthetist includes me in decision making Strongly Agree Done