Thank you for your interest in this survey.  The purpose is to provide valuable input to practitioners and third-party payors on the mobility and comfort issues faced by lower limb amputees.  It should only take you one to two minutes to complete.  This could be the most beneficial investment of your time to help establish orthotic and prosthetic outcomes. In these days of budget cuts, we need every bit of information we can find to prove that proper services are essential.
 
Please remember that your responses are entirely confidential (See our privacy policy below for details).
 
 
Scott
 
 
1.
Please tell us about yourself.
Gender
Birth Date:
Race
Weight: (in pounds)
2.
On which limb(s) do you wear a prosthesis? (select all that apply)