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Products & Services
Healthcare Providers
Patients
Here to help
About
Newsroom
Contact
Portal Log-In
Qualified Patient Survey
If you are a human and are seeing this field, please leave it blank.
First Name
*
Last Name
*
Email
*
Phone
Surgeon's Name
*
Surgeon's Email
*
1. Would you use a wearable device technology that gives your Doctor relevant information on your mobility to help her/him understand your symptoms and condition?
Yes
No
2. Would you be motivated by a visual display on your mobile phone of your recovery progress, which displays weekly/daily graphs, a recovery roadmap, and exercise assistance?
Yes
No
Not sure
3. Would you use a wearable device if it was possible to minimize the number of follow up appointments based on your progress?
Yes
No
4. Would you use a wearable device if it was possible to communicate directly with your doctor's staff and physical therapist about your progress?
Yes
No
5. How much time does it take out of your day to travel to your doctor or rehabilitation appointment, complete the treatment, and travel back to your job or home?
2 hours or less
3 hours
4 hours or more
6. What is the total cost of a trip to your doctor or physical therapist office that is not covered by insurance (include gas for car, taxi or bus fares, tolls, parking fees, and co-pay)?
$30 or less
$40
$50
$75
$100 or more
7. Would you use a wearable device if your physical therapist could, after your initial treatment and understanding/comfort of completing those exercises, treat your condition via your mobile phone to save you money, travel time and convenience?
Yes
No
Not sure
8. Would you use a wearable device if your physical therapist could adjust your treatment plan and send it to you via your mobile device?
Yes
No
Not sure
