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Patient Survey
Location
-- Select --
Butler
Cranberry
Harmar
Pleasant Hills
Monroeville
Robinson
Shadyside
Washington
I was here for
Orthotics [Brace/Shoes]
Prosthetics [I am an amputee]
In the last 12 months, when you phone our office during regular office hours, how often did you get an answer to your question that same day?
-- Select --
Never
Sometimes
Usually
Always
During your most recent visit, did your clinician explain things in a way that was easy to understand?
-- Select --
Yes, definitely
Yes, somewhat
No
Additional comments about this
During your most recent visit, did your clinician listen carefully to you?
-- Select --
Yes, definitely
Yes, somewhat
No
Additional comments about this
During your most recent visit, did your clinician show respect for what you had to say?
-- Select --
Yes, definitely
Yes, somewhat
No
Additional comments about this
Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate De La Torre Orthotics & Prosthetics
10 Best
9
8
7
6
5
4
3
5
1
0 Worst
During your most recent visit, was the receptionist as helpful as you thought they should be?
-- Select --
Yes, definitely
Yes, somewhat
No
Additional comments about this
During your most recent visit, did the receptionist treat you with courtesy and respect?
-- Select --
Yes, definitely
Yes, somewhat
No
Additional comments about this
Overall comments about the level of courtesy and respect you received during your most recent visit. How can we improve?
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