AOPS Prosthetic Fabrication Satisfaction Online Survey 2006
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 devises, as well as outstanding customer service.
Please provide us with the following information:
Pt. Name
Pt. Number
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
Lamination
Alignment
Set Up
Trim/Buff
Cosmesis
Product Cost
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