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1.
My appointment was scheduled in a reasonable amount of time and the person with whom I spoke with was courteous and helpful:
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2.
I was seen within 15 minutes of my appointment and if not, was the reason for the delay explained to me?:
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3.
I found the waiting and treatment areas clean and well maintained:
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4.
The service provided to me were delivered in a reasonable amount of time:
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5.
Considering its limitations, I found the fit and function of my orthoses/prosthesis satisfactory:
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6.
I have found my orthosis/prosthesis is adequate for my needs:
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7.
The appearance and workmanship of my orthosis/prosthesis is satisfactory:
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8.
The Orthotist/Prosthetist who provided my service was knowledgeable and skillful:
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9.
Overall, I was satisfied with the quality treatment I received from this company:
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10.
I received specific recommendations and/or instructions on proper care and use of my orthosis/prosthesis:
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11.
I would recommend this company to others requiring such services:
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12.
Were your questions or concerns about your care answered in a timely manner?:
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13.
Were your questions or concerns about your care answered to your satisfaction?:
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14.
Did you receive instructions on who to contact in case of emergency?:
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15.
Were you informed of your financial responsibilities before you received care?:
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16.
What needs to be improved?:
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