Exit this survey Patient Satisfaction Evaluation 1. Patient Satisfaction Question Title * 1. Patients Name. Question Title * 2. Please rate the professional manner in which our Practicioner presented himself. Poor Fair Good Excellent Your additional comments are welcome: Question Title * 3. How clear were the instructions on the care and use of your device? Poor Fair Good Excellent Your additional comments are welcome: Question Title * 4. Please rate overall fit, comfort, and quality of your device. Poor Fair Good Excellent Your additional comments are welcome Question Title * 5. The amount of time our practicioner spent with you was sufficent to answer all of your questions and concerns. Poor Fair Good Excellent Your additional comments are welcome: Question Title * 6. Were you able to get a convenient appointment time and date? Poor Fair Good Excellent Your additional comments are welcome: Question Title * 7. How helpful was office personel in providing information? Poor Fair Good Excellent Your additional comments are welcome: Question Title * 8. Please rate your overall experience with ORTHOLOGIX. Poor Fair Good Excellent Your additional comments are welcome: Done