AOPS Orthotic Fabrication Satisfaction Online Survey
In order to better serve you and your patients please take the time to fill out this survey. Our goal is to provide you with the highest quality custom fabricated orthotic and prosthetic devices, as well as outstanding customer service.
Please supply us with the following information:
Pt. Name & #
Device Type
Your Name
Please rate your overall satisfaction with the product:
Excellent
Good
Average
Fair
Poor
Please rate your level of satisfaction with each of the following:
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Modification
Pulling
Trim/Finish
Pad Placement
Strap Placement
Product Cost
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