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