provider survey

Question Title

* 1. Name of survey Taker

Question Title

* 2. 1. What kind of pain do you usually treat?

Question Title

* 3. 4. Years treating patients

0-5

5-10

10+

Question Title

* 4. 5. Have you used the 10-point pain scale and how effective was it at helping you understand your patient's pain?

very effective

somewhat effective

not effective

Question Title

* 5. 1. Have you prescribed a pain diary before and what was your experience with it?

yes, it was helpful

yes, but it was not helpful

no, but patients have kept a personal journal

no, i have never prescribed a pain diary

Question Title

* 6. 7. Would you be interested in participating in a short interview to discuss your perspectives on pain assessment and our product? (include contact info if so)

Yes

No

Question Title

* 7. contact email or phone number

Question Title

* 8. 1. Do you understand the concept of the XTech Tracker by Xpressive tech?

Yes

No

Question Title

* 9. 2. Our device is a more accurate, better-quality medical instrument to measure pain than competitors. Do you think this would be a valuable thing for you?

Yes

No

Question Title

* 10. 3. Our data analytics can use the measured data to help tell the story about your pain experience. Do you think this would be a valuable thing for you?

Yes

No