Central Ohio Orthotic & Prosthetic Center

Improving Human Capability in Central Ohio.

Providing professional, quality, prosthetic and orthotic services since 1991.

Central Ohio Orthotic & Prosthetic Center appreciates your feedback. It helps us better serve our patient's needs.

Your Name: *

Patient Name: *

Email: *

1. Were you seen within 15 minutes of your scheduled time? *

2. Was our staff friendly and polite at all times? *

3. Was your orthotic or prosthetic device delivered in the time it was communicated to you that it would be? *

4. How well was your insurance coverage and our financial policies explained to you? *

5. At the time of delivery, how was the fit and function of your orthotic or prosthetic? *

6. Did your orthotic or prosthetic device need to be remade? *

7. How is the quality of the workmanship and appearance of your orthotic or prosthetic device? *

8. At the time of fitting, did you receive information on how to care for your orthotic or prosthetic? *

9. At the time of fitting, were you scheduled for a follow-up appointment? *

10. Would you recommend Central Ohio Orthotic & Prosthetic Center to others? *

11. Which Specialist did you see at Central Ohio Orthotic & Prosthetic Center?

12. Which of our locations were you seen at?

Additional Comments, Suggestions or Testimonies:

PLEASE NOTE:
Patient Satisfaction Surveys are turned into our business manager. Your comments and suggestions are used to help us better serve our patient's needs. Your testimonies are randomly chosen and used in part for marketing, advertising and recruiting efforts, as well as, physician in-services.

Your responses are important to us. We appreciate your taking the time to let us know how we're doing!