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