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