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