SSS Exit Interview

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Welcome to your SSS Exit Survey. Thank you for taking the time to provide us with your honest feedback. We truly appreciate the opportunity to improve our service to you and future SSS System users.

1. 

Overall, please rate the SSS System’s impact on your shoulder rehabilitation.


2. 

Please rate the SSS System’s impact on your pain.


3. 

Please rate the SSS System’s impact on your stiffness.


4. 

Please rate the impact of FaceTime, or Video Chats, on your experience with the SSS.


5. 

If known, please rate your formal outpatient physical therapist’s opinion of the SSS System’s impact on your shoulder rehabilitation.


6. 

Would you recommend the SSS System to patient’s undergoing shoulder surgery?


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 SSS System? Please explain. 

9. 

Is there anything else you would like to add?

10. 

Optional Information: Name

11. 

Optional Information: Prescribing Physician


Thank you for taking the time to complete this survey.



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