Survey Form

As the owner and president of The Charleston Bending Brace , I want to thank you for ordering one of our bending braces. In the interest of providing the best quality possible and to better understand your needs, we kindly ask that you complete the following survey. Thank you for your continued support.


C. Ralph Hooper, Jr., CPO

Please download the Survey Form on this page and return to the address on the form or email to