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