Physical and Occupational Therapy Clinic Software Solution Survey Question Title * 1. Your Name Question Title * 2. Your Clinic Role/Title Question Title * 3. Name of the Clinic Question Title * 4. URL of your Clinic/Practice, if any Question Title * 5. Your Email Question Title * 6. Your Phone Question Title * 7. What services are offered in the Clinic? Rehabilitation Services Wellness Services Physical Therapy Occupational Therapy All of the above Other (please specify) Question Title * 8. Select all the services offered Manual therapy Sports Rehabilitation Vestibular and Balance Rehab Orthopedic Rehab : Head & Neck, Both Extremities, Thoracic Spine, Lumbar Spine & Pelvis, General Geriatrics Pediatrics Pain Management Neurological Rehab: Stroke, Gait and Balance Graston Technique Cupping Therapy Trans-cutaneous Electrical Nerve Stimulation (TENS) Therapeutic Ultrasound Other (please specify) Question Title * 9. What Software and Software Services are used to support Clinic patient activities? Select all that apply with level of satisfaction Not Used Very Dissatisfied Dissatisfied Neither Satisfied not Dissatisfied Satisfied Very Satisfied Website solution Website solution Not Used Website solution Very Dissatisfied Website solution Dissatisfied Website solution Neither Satisfied not Dissatisfied Website solution Satisfied Website solution Very Satisfied EMR Solution EMR Solution Not Used EMR Solution Very Dissatisfied EMR Solution Dissatisfied EMR Solution Neither Satisfied not Dissatisfied EMR Solution Satisfied EMR Solution Very Satisfied CRM Solution CRM Solution Not Used CRM Solution Very Dissatisfied CRM Solution Dissatisfied CRM Solution Neither Satisfied not Dissatisfied CRM Solution Satisfied CRM Solution Very Satisfied Office 365 Solution Office 365 Solution Not Used Office 365 Solution Very Dissatisfied Office 365 Solution Dissatisfied Office 365 Solution Neither Satisfied not Dissatisfied Office 365 Solution Satisfied Office 365 Solution Very Satisfied Other (please specify) Question Title * 10. What Web Site Capabilities are being used in the Clinic? Mobile friendly Desktop and Tablet friendly Staff Bios Key Products and Services Case Studies Videos on Services Images of the Clinic Patient Educational Content and Blogs FAQ Section Online Scheduling Services Online Chat Services Patient Billing Patient Portal Other (please specify) Question Title * 11. What additional website capabilities would be a value-add for the clinic? Question Title * 12. What EMR Capabilities are being used in the Clinic? Patient Registration Previsit forms Schedule Management Medical Record Management: Allergies, Care Plans, Social and Family History Record Clinical Encounters/Clinical Documentation Lab and Diagnostic Test Management Medications Management Reminders and Alerts Referrals Billing Patient Portal Online video consults and followups Other (please specify) Question Title * 13. What additional EMR capabilities would be a value-add for the clinic? Question Title * 14. What CRM Capabilities are being used in the Clinic? Patient Database Referral Provider Database Role based access Intelligent Mail Campaigns Appointment Reminders Reports and Dashboards Integration with EMR and other Billing software Predictive Analytics Dashboards and Reports Other (please specify) Question Title * 15. What additional CRM capabilities would be a value-add for the clinic? Question Title * 16. What Office 365 Capabilities are being used in the Clinic? Email Outlook Content and Records Management Calendar Communications with clinic staff Clinical Reporting and Dashboards Conference Calls for Business Word Excel Powerpoint Other (please specify) Question Title * 17. What additional Office 365 capabilities would be a value-add for the clinic? Question Title * 18. How do you rate the Clinic’s current Software Services and Hosting provider?Rate as 1-5 with 5 as highest level Other (please specify) Question Title * 19. Would you like Star Knowledge to conduct an initial free analysis on your current website and provide you with inputs? The report would include opportunities by which you could use digital marketing to drive more patients to your clinic. Yes No Maybe Submit
