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Healthcare Survey by Oregon Exercise Therapy
Q.1
The last time you experienced musculoskeletal pain that you sought help for, who did you visit first?
*
massage therapist
chiropractor
general practitioner (doctor)
osteopath
sports medicine doctor
acupuncturist
postural alignment specialist (Egoscue)
physical therapist
pain management specialist (doctor)
Other:
Q.2
How would you rate your overall satisfaction with your visit?
*
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Q.3
Have you referred others to this practitioner/clinic?
*
Yes, only once
Yes, multiple times
No
No, but plan to in the future
What is the name of this practitioner/clinic?
Q.4
What kind of treatment/advice were you given?
*
ultrasound or electrical stimulation
exercises or stretches
surgery
injections (epidural, steroid, nerve block, Botox, etc)
Kinesio tape, bracing, splinting, orthotics
RICE (rest, ice, compression, elevation)
acupuncture
manual treatment (massage, mobilization, manipulation, etc)
pain medication or other pharmaceuticals (oral/topical)
Other:
Q.5
What was the most effective treatment you received?
*
surgery
manual treatment (massage, mobilization, manipulation, etc)
injections (epidural, steroid, nerve block, Botox, etc)
pain medication or other pharmaceuticals (oral/topical)
exercises or stretches
ultrasound or electrical stimulation
Kinesio tape, bracing, splinting, orthotics
RICE (rest, ice, compression, elevation)
acupuncture
Why did you feel this helped you the most?
Q.6
How would you rate the effectiveness of your treatments?
*
Very effective
Somewhat effective
Neutral
Somewhat ineffective
Very ineffective
Q.7
If you sought out additional help, who did you visit?
*
osteopath
general practitioner (doctor)
massage therapist
chiropractor
postural alignment specialist (Egoscue)
sports medicine doctor
physical therapist
acupuncturist
pain management specialist (doctor)
Other:
Q.8
Have you done Postural Alignment Therapy/Egoscue?
*
Yes (clinic/Skype/email)
Yes (book/website/youtube)
No
Q.9
How would you rate the effectiveness of Postural Alignment Therapy/Egoscue?
*
Very effective
Somewhat effective
Neutral
Somewhat ineffective
Very ineffective
Have not done Postural Alignment Therapy/Egoscue
Q.10
Have you referred others to Oregon Exercise Therapy/Matt Whitehead?
*
Yes, only once
Yes, multiple times
No
No, but plan to in the future
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