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