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DATE:___/___/___NAME:___MAN:___Forthefollowingquestions, pleaseindicatewhatpercentsatisfactionyouhaveregardingBOTHofyourElbow
0%TERRIBLE/Notsatisfiedatall100%GREAT/Completely satisfied
(OrchooseANUMBERbetween0and100toshowyoursatisfaction)
1.
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How to fill out howsatisfiedareyouwithformstabilityhowsecureitfeelsinitssocketor
01
Locate the form stability rating section on the socket form.
02
Rate your satisfaction level on a scale from 1 to 10, with 1 being very unsatisfied and 10 being highly satisfied.
03
Consider how secure the socket feels when wearing it and how it compares to your previous experiences with sockets.
04
Fill out any additional comments or feedback regarding the form stability and security of the socket.
Who needs howsatisfiedareyouwithformstabilityhowsecureitfeelsinitssocketor?
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Individuals who use prosthetic sockets and want to provide feedback on the form stability and security of their socket.
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Medical professionals and researchers who are collecting data on socket satisfaction and security for research or product development purposes.
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