Rubin Institute for Advanced Orthopedics (RIAO) Patient Testimonial Survey

Your answers can be as short (one sentence) or as long as you want them to be. Please note that we will just be sharing survey respondents'/patients' first names and the states or countries that they come from. Thank you!

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* 1. Your basic information

Your First Name

Your Last Name

Patient's First Name (if different than yours)

Patient's Last Name (if different than yours)

Is the patient 18 or older?

Relation to patient, e.g., self, parent, guardian?

Condition(s)

Name of RIAO Doctor(s)

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* 2. Your contact information

State/Province

Country

Email Address *

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* 3. I agree to allow my responses below to appear on the LifeBridge Health/Rubin Institute for Advanced Orthopedics web site/s, Facebook page/s, and other LifeBridge Health promotional materials (including but not limited to newsletters, brochures, social media and advertisements).

Yes

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* 4. What were your concerns before coming to the Rubin Institute to seek treatment?

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* 5. How has your life improved as a result of being treated at the Rubin Institute?

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* 6. How would you describe your doctor’s or another staff member's compassion, ability to listen to you, or ability to explain your condition/treatment options?

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* 7. If you were talking with someone who shared your same health condition and was considering treatment at the Rubin Institute, what would you want to tell them?

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* 1. Your basic information

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* 2. Your contact information

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* 3. I agree to allow my responses below to appear on the LifeBridge Health/Rubin Institute for Advanced Orthopedics web site/s, Facebook page/s, and other LifeBridge Health promotional materials (including but not limited to newsletters, brochures, social media and advertisements).

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* 4. What were your concerns before coming to the Rubin Institute to seek treatment?

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* 5. How has your life improved as a result of being treated at the Rubin Institute?

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* 6. How would you describe your doctor’s or another staff member's compassion, ability to listen to you, or ability to explain your condition/treatment options?

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* 7. If you were talking with someone who shared your same health condition and was considering treatment at the Rubin Institute, what would you want to tell them?

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* 8. Optional: Do you have anything else that you'd like to add?