Please mark the response that most closely reflects your opinion.

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* 1. Name and/or ID

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* 2. My prosthesis / orthosis fits well...

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* 3. The weight of my prosthesis / orthosis is manageable...

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* 4. My prosthesis / orthosis is comfortable throughout the day...

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* 5. It is easy to put on my prosthesis / orthosis...

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* 6. My prosthesis / orthosis looks good...

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* 7. My prosthesis / orthosis is durable...

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* 8. My clothes are free of wear and tear from my prosthesis / orthosis...

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* 9. My skin is free of abrasions and irritations...

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* 10. My prosthesis / orthosis is pain free to wear...

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