Northwest Prosthetic and Orthotic Clinic combines experience and advanced technology to provide you with the best clinical care possible. NWPOC is accredited by the American Board of Certification in Orthotics and Prosthetics, and provides a full spectrum of both Prosthetic and Orthotic services. All clinicians are licensed with the State of Washington.

Quality Assurance Survey

At Northwest Prosthetic and Orthotic Clinic we are commited to providing our patients the highest level of service possible. Please take a few moments to complete this brief and confidential survey.

Name:

1 = Below Expectations 2 = Minimum Expectations 3 = Normal Expectations 4 = Good, Above Expectations 5 = Outstanding

Practitioner

Was prompt and efficient? 5
4
3
2
1
N/A

Provided the optimal device for treatment of your condition? 5
4
3
2
1
N/A

Provided adequate education on use of your device? 5
4
3
2
1
N/A

Quality and Workmanship of device provided? 5
4
3
2
1
N/A

Repairs or adjustments were adequately addressed? 5
4
3
2
1
N/A

Comments:

Office Staff

Efficient when arranging appoints? 5
4
3
2
1
N/A

Appointments set up in a timely manner? 5
4
3
2
1
N/A

Courteous and helpful upon arrival for appointment? 5
4
3
2
1
N/A

Billing questions adequately explained? 5
4
3
2
1
N/A

Comments:

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