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