QUESTIONNAIRE
Hello, my name is Satwinder Virdee and I am currently doing a project related to ill health in the area of knee, back and arthritis problems. My aim is to find out why these conditions occur and what people are doing to improve this.
If you feel like mentioning how this can be improved which will help you/people suffering from the same condition as you then please do not hesitate to write this down.
Please tick next to the ones appropriate to you. You can answer more than one on each question.
1) Are you suffering from:
a. Knee Conditions
b. Back Conditions
c. Arthritis
2) What caused this/these conditions to occur?
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
3) What treatments are you receiving to help your condition(s)?
a. Acupuncture
b. Massages
c. Physiotherapy
d. Other (Please State) ………………………………………………
4) Are you sticking to the treatment plan(s) regularly? Yes No
If No why? ………………………………………………………………….
5) Have you been sent home with exercise Yes No
instructions after your treatment?
If Yes, have you followed these exercises as told? Yes No
If No, why is this?
a. Lack of motivation
b. Lifestyle
c. Other (Please State) ………………………………………………..
6) Do you find it hard to motivate yourself? Yes No
If Yes, what do you feel will help motivate you?
……………………………………………………………………………………………………………………………………………………………………………………
7) Do you find it important to keep in touch with your Yes No
practitioner for extra advice?
If No, why? …………………………………………………………………...
………………………………………………………………………………………….
8) Have you had surgery related to your condition(s)? Yes No
If Yes, how long was your recovery period? ……………………………..
Thank you for taking your time to answer this questionnaire and all this help is very much appreciated.
Satwinder Virdee.
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