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