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? *
YesNoDoes not apply

2. Was our staff friendly and polite at all times? *
YesNoDoes not apply

3. Was your orthotic or prosthetic device delivered in the time it was communicated to you that it would be? *
YesNoDoes not apply

4. How well was your insurance coverage and our financial policies explained to you? *
Very wellNot wellDoes not apply

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

6. Did your orthotic or prosthetic device need to be remade? *
NoYesDoes not apply

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

8. At the time of fitting, did you receive information on how to care for your orthotic or prosthetic? *
YesNoDoes not apply

9. At the time of fitting, were you scheduled for a follow-up appointment? *
YesNoDoes not apply

10. Would you recommend Central Ohio Orthotic & Prosthetic Center to others? *
YesNoDoes not apply

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

12. Which of our locations were you seen at?
ColumbusDublinBoth

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!