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Orthopedic Surgery Satisfaction Questionnaire Mobile App

The Orthopedic Surgery Satisfaction Questionnaire mobile app allows patients to anonymously critic orthopedic office. The app evaluates phone system and general office experience using a mobile device to complete and submit the questionnaire. A GoCanvas account can be specified as being HIPAA compliant. By turning on HIPAA compliance, a number of features that most of users find desirable will be disabled to meet HIPAA Standards. Individual apps in the GoCanvas Application Store can easily be made HIPAA Compliant. If you have any questions or need assistance you can contact our Sales team to help you at Sales@GoCanvas.com. If you would like to enable HIPAA on your GoCanvas account please follow the instructions below: 1. Log onto your Account 2. Click “My Account” in the top right corner of the screen 3. Click “Customize” on the left 4. The third option is for HIPAA Compliance, click “Edit” on the right 5. Check the “Enable HIPAA Compliance” box and select “Save”

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Orthopedic Surgery Satisfaction Questionnaire Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Today’s Date:

  • Ico textbox

    Name (optional):

  • Ico checkbox

    May a manager/administrator contact you for more details?

  • Ico textbox

    If yes, what is the best number and time to reach you?

  • Ico dropdown

    Are you the

  • Ico textbox

    Which doctor did you see today?

  • Ico date

    If you were not seen today, when was your appointment?

  • Ico statictext

    Which of the following influenced your decision to make an appointment with us?

  • Ico checkbox

    Proximity to your home or offic

  • Ico checkbox

    Availability to make an appointment (timeliness)

  • Ico checkbox

    Referral from another patient

  • Ico checkbox

    Referral from another patient

  • Ico checkbox

    Referral from a friend or family member

  • Ico checkbox

    Referral from another physician

  • Ico checkbox

    Reputation of the physician you are seeing

  • Ico checkbox

    Participation in your medical insurance plan

  • Ico statictext

    What medical insurance coverage do you have (e.

  • Ico checkbox

    Were the instructions clear and easy to follow?

  • Ico checkbox

    Were you able to reach the person you were calling?

  • Ico textbox

    If no, what problem did you have?

  • Ico checkbox

    Was your call answered in a timely manner?

  • Ico dropdown

    How long did you have to wait to speak with an appointment scheduler receptionist surgery scheduler?

  • Ico textbox

    When calling to schedule an appointment, how long did you have to wait until an appointment was a...

  • Ico statictext

    Would you prefer to speak with

  • Ico checkbox

    a live person, or

  • Ico checkbox

    the auto-attendant to have your call directed?

  • Ico textbox

    How long would you be willing to hold to speak with a live person?

  • Ico dropdown

    Are you more comfortable leaving a message with

  • ...and More!

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