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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?
*
postural alignment specialist (Egoscue)
chiropractor
massage therapist
general practitioner (doctor)
physical therapist
acupuncturist
sports medicine doctor
pain management specialist (doctor)
osteopath
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?
*
acupuncture
pain medication or other pharmaceuticals (oral/topical)
manual treatment (massage, mobilization, manipulation, etc)
RICE (rest, ice, compression, elevation)
ultrasound or electrical stimulation
exercises or stretches
injections (epidural, steroid, nerve block, Botox, etc)
Kinesio tape, bracing, splinting, orthotics
surgery
Other:
Q.5
What was the most effective treatment you received?
*
exercises or stretches
injections (epidural, steroid, nerve block, Botox, etc)
manual treatment (massage, mobilization, manipulation, etc)
pain medication or other pharmaceuticals (oral/topical)
surgery
ultrasound or electrical stimulation
acupuncture
RICE (rest, ice, compression, elevation)
Kinesio tape, bracing, splinting, orthotics
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?
*
sports medicine doctor
general practitioner (doctor)
postural alignment specialist (Egoscue)
massage therapist
osteopath
acupuncturist
physical therapist
chiropractor
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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