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Patient Satisfaction Survey
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Musculoskeletal Solutions
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Orthotic and Prosthetic Care
About
About
Giving Back
Leadership Team
Contact
Locations
Careers
Orthopaedic Products
Orthopaedic Bracing
Foot Orthotics, Inserts, & Shoes
Prosthetics
Home Rehabilitation Machines
Orthopaedic Devices
CMF Bone Growth Stimulators
DVT Prevention
Pain Management Devices
Cold Therapy
Electrotherapy
sam Ultrasound Therapy
Mobility Aids
Patient Resources
Pay My Bill
Accepted Insurances
Patient Satisfaction Survey
Product Feedback Surveys
Return Policies
Notice of Privacy Practices
Provider Resources
Innovating Outcomes
Musculoskeletal Solutions
Orthopaedic Products
Delivery & Fitting
Customer Service
Billing Expertise
Orthotic and Prosthetic Care
SSS Update
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SSS Update
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*
" indicates required fields
1) Overall, please rate the Shoulder SSS's impact on your shoulder rehabilitation.
*
Greatly Improved
Slightly Improved
Neutral
Slightly Worsened
Greatly Worsened
Comments
2) Please rate the Shoulder SSS's impact on your pain.
*
Greatly Improved
Slightly Improved
Neutral
Slightly Worsened
Greatly Worsened
Comments
3) Please rate the Shoulder SSS's impact on your stiffness.
*
Greatly Improved
Slightly Improved
Neutral
Slightly Worsened
Greatly Worsened
Comments
4) Please rate the impact of FaceTime, or Video Chats, on your experience with the SSS.
*
Greatly Improved
Slightly Improved
Neutral
Slightly Worsened
Greatly Worsened
Comments
5) If known, please rate your formal outpatient physical therapist's opinion of the Shoulder SSS's impact on your shoulder rehabilitation.
*
Greatly Improved
Slightly Improved
Neutral
Slightly Worsened
Greatly Worsened
Comments
6) Would you recommend the Shoulder SSS to patient's undergoing shoulder surgery?*
*
Yes
Maybe
No
Comments
7) If you have had previous shoulder surgery, did you notice a difference in your rehabilitation using the SSS System? Please explain.
8) Is there anything you think we could have done differently to improve your experience with the Shoulder SSS? Please explain.
9) Is there anything else you would like to add?
Optional Information: Name
Optional Information: Prescribing Physician
Optional Information: ēlizur Virtual Clinical Specialist
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