Patient Satisfaction Survey

Your feedback helps us improve our care.

Thank you for taking this time to provide us feedback on your visit to Charleston Brace Co., LLC. We seek to provide the highest quality prosthetic and orthotic devices and care.

Patient Name (Optional)

Date of Appointment (Optional)

Email *

Which location did you visit?

How satisfied were you with our Staff?(courtesy of registration, explanation of requested information, consideration shown in scheduling return appointment)

Was your wait time acceptable?

Yes

Reason for wait explained?

Yes

How satisfied were you with Practitioner?(caring attitude, amount of time spent with you, explanation of treatment)

How satisfied were you with our Facilities?

Would you refer us to your family and friends?

Will you visit us again?

How would you rate quality of care of service?

How would you rate your overall experience at Charleston Brace Company, LLC?

How did you hear about Charleston Brace Company?

Patient Satisfaction Survey

Ladson

Walterboro

Mt. Pleasant