Thank you for taking the time to fill out the survey. 5=Excellent 4=Good 3=Average 2=Below Average 1=Poor
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When referring a patient to Pediatric Orthotic Specialists, I am confident that my patients will have their questions answeredN/A54321
When referring a patient to Pediatric Orthotic Specialists, I am confident that my patients will be treated in a timely mannerN/A54321
When referring a patient to Pediatric Orthotic Specialists, I am confident that my patients will be treated with respect and compassionN/A54321
When referring a patient to Pediatric Orthotic Specialists, I am confident that my patients will receive appropriate follow-up careN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving fitN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving functionN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving alignmentN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving comfortN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving complianceN/A54321
The orthoses that we provide are designed to prevent deformity, maintain ROM, and enhance our patient’s function. In your opinion, we were successful in achieving overall qualityN/A54321
When working with Pediatric Orthotic Specialists, their system makes it easy to send a referralN/A54321
When working with Pediatric Orthotic Specialists, they keep me informed about my patientN/A54321
When working with Pediatric Orthotic Specialists, they communicate details of proposed treatment plan effectivelyN/A54321
When working with Pediatric Orthotic Specialists, they respond promptly if I need to address my patient with themN/A54321
I refer my patients to Pediatric Orthotic Specialists because
I refer my patients to other orthotic providers because
Is there anything that Pediatric Orthotic Specialists can do to better meet your expectations or make referral process easier for you?
Additional comments and suggestions