Your telehealth session with a myotherapist

Your opinion about your myotherapy telehealth experience counts.

Myotherapy Association Australia is the national body supporting the interests myotherapists and their patients.

We know you can see your myotherapist in person. But when that is not possible, such as during COVID, we want to make sure you can see your myotherapist from home, using a telephone or computer. This is called 'telehealth' or 'telepractice'.

We asked your myotherapist to send you these questions because you have had a telehealth session with them since 1 March. They have not shared any of your details with us.

The survey will only take about 5 - 7 minutes. We would like to know how it went and what you think telehealth did for you.

If you answer the questions, your personal answers won't be shared with anyone- not even your myotherapist. We don't ask for your contact details, so you can say what you like. You can even choose not to answer certain questions.

If you have any questions, you can contact me directly. My name is Anna Yerondais. I am the CEO for the Myotherapy Association Australia.

Email: ceo@myotherapy.org.au or phone (03) 9418 3913

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* 1. Are you:

Female

Male

Other (please describe)

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* 2. How old are you?

Under 20 years old

20-29 year old

30- 39 years old

40-49 years old

50-59 years old

60-69 years old

70-79 years old

80 years old or more

Prefer not to say

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* 3. What state or territory do you live in?

New South Wales

Northern Territory

Victoria

South Australia

Tasmania

Queensland

Western Australia

Australian Capital Territory

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* 4. Are you Aboriginal or Torres Strait Islander?

Yes

Prefer not to say

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* 5. If you speak another language, what is the other language you can speak?

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* 6. This question asks you to rate how you feel telehealth has benefited you. Please tick 1 (very satisfied) to 5 (very unsatisfied) for each statement. Tick N/A 'not applicable' if the statement does not apply to you.

	1 (very satisfied)	2	3	4	5 (very unsatisfied)	N/A
Telehealth helped me move my whole body better	Telehealth helped me move my whole body better 1 (very satisfied)	Telehealth helped me move my whole body better 2	Telehealth helped me move my whole body better 3	Telehealth helped me move my whole body better 4	Telehealth helped me move my whole body better 5 (very unsatisfied)	Telehealth helped me move my whole body better N/A
Telehealth helped me use my arms or legs better	Telehealth helped me use my arms or legs better 1 (very satisfied)	Telehealth helped me use my arms or legs better 2	Telehealth helped me use my arms or legs better 3	Telehealth helped me use my arms or legs better 4	Telehealth helped me use my arms or legs better 5 (very unsatisfied)	Telehealth helped me use my arms or legs better N/A
Telehealth helped me turn my neck better	Telehealth helped me turn my neck better 1 (very satisfied)	Telehealth helped me turn my neck better 2	Telehealth helped me turn my neck better 3	Telehealth helped me turn my neck better 4	Telehealth helped me turn my neck better 5 (very unsatisfied)	Telehealth helped me turn my neck better N/A
Telehealth helped me lean, bend or reach better	Telehealth helped me lean, bend or reach better 1 (very satisfied)	Telehealth helped me lean, bend or reach better 2	Telehealth helped me lean, bend or reach better 3	Telehealth helped me lean, bend or reach better 4	Telehealth helped me lean, bend or reach better 5 (very unsatisfied)	Telehealth helped me lean, bend or reach better N/A
Telehealth helped me continue with daily activities	Telehealth helped me continue with daily activities 1 (very satisfied)	Telehealth helped me continue with daily activities 2	Telehealth helped me continue with daily activities 3	Telehealth helped me continue with daily activities 4	Telehealth helped me continue with daily activities 5 (very unsatisfied)	Telehealth helped me continue with daily activities N/A
Telehealth helped me to go back to work quicker	Telehealth helped me to go back to work quicker 1 (very satisfied)	Telehealth helped me to go back to work quicker 2	Telehealth helped me to go back to work quicker 3	Telehealth helped me to go back to work quicker 4	Telehealth helped me to go back to work quicker 5 (very unsatisfied)	Telehealth helped me to go back to work quicker N/A
Telehealth helped me drive my car better	Telehealth helped me drive my car better 1 (very satisfied)	Telehealth helped me drive my car better 2	Telehealth helped me drive my car better 3	Telehealth helped me drive my car better 4	Telehealth helped me drive my car better 5 (very unsatisfied)	Telehealth helped me drive my car better N/A
Telehealth helped me address and correct my home-office ergonomics	Telehealth helped me address and correct my home-office ergonomics 1 (very satisfied)	Telehealth helped me address and correct my home-office ergonomics 2	Telehealth helped me address and correct my home-office ergonomics 3	Telehealth helped me address and correct my home-office ergonomics 4	Telehealth helped me address and correct my home-office ergonomics 5 (very unsatisfied)	Telehealth helped me address and correct my home-office ergonomics N/A
Telehealth helped reduce my pain	Telehealth helped reduce my pain 1 (very satisfied)	Telehealth helped reduce my pain 2	Telehealth helped reduce my pain 3	Telehealth helped reduce my pain 4	Telehealth helped reduce my pain 5 (very unsatisfied)	Telehealth helped reduce my pain N/A
Telehealth helped me manage my pain due to pregnancy	Telehealth helped me manage my pain due to pregnancy 1 (very satisfied)	Telehealth helped me manage my pain due to pregnancy 2	Telehealth helped me manage my pain due to pregnancy 3	Telehealth helped me manage my pain due to pregnancy 4	Telehealth helped me manage my pain due to pregnancy 5 (very unsatisfied)	Telehealth helped me manage my pain due to pregnancy N/A
Telehealth helped me before a surgery	Telehealth helped me before a surgery 1 (very satisfied)	Telehealth helped me before a surgery 2	Telehealth helped me before a surgery 3	Telehealth helped me before a surgery 4	Telehealth helped me before a surgery 5 (very unsatisfied)	Telehealth helped me before a surgery N/A
Telehealth helped me after a surgery	Telehealth helped me after a surgery 1 (very satisfied)	Telehealth helped me after a surgery 2	Telehealth helped me after a surgery 3	Telehealth helped me after a surgery 4	Telehealth helped me after a surgery 5 (very unsatisfied)	Telehealth helped me after a surgery N/A
Telehealth helped me concentrate	Telehealth helped me concentrate 1 (very satisfied)	Telehealth helped me concentrate 2	Telehealth helped me concentrate 3	Telehealth helped me concentrate 4	Telehealth helped me concentrate 5 (very unsatisfied)	Telehealth helped me concentrate N/A
Telehealth helped my headache	Telehealth helped my headache 1 (very satisfied)	Telehealth helped my headache 2	Telehealth helped my headache 3	Telehealth helped my headache 4	Telehealth helped my headache 5 (very unsatisfied)	Telehealth helped my headache N/A
Telehealth helped me get referred to another health professional	Telehealth helped me get referred to another health professional 1 (very satisfied)	Telehealth helped me get referred to another health professional 2	Telehealth helped me get referred to another health professional 3	Telehealth helped me get referred to another health professional 4	Telehealth helped me get referred to another health professional 5 (very unsatisfied)	Telehealth helped me get referred to another health professional N/A
Telehealth helped me make lifestyle changes for my health	Telehealth helped me make lifestyle changes for my health 1 (very satisfied)	Telehealth helped me make lifestyle changes for my health 2	Telehealth helped me make lifestyle changes for my health 3	Telehealth helped me make lifestyle changes for my health 4	Telehealth helped me make lifestyle changes for my health 5 (very unsatisfied)	Telehealth helped me make lifestyle changes for my health N/A
Telehealth helped me keep my independence	Telehealth helped me keep my independence 1 (very satisfied)	Telehealth helped me keep my independence 2	Telehealth helped me keep my independence 3	Telehealth helped me keep my independence 4	Telehealth helped me keep my independence 5 (very unsatisfied)	Telehealth helped me keep my independence N/A
Telehealth helped me avoid having to go to hospital	Telehealth helped me avoid having to go to hospital 1 (very satisfied)	Telehealth helped me avoid having to go to hospital 2	Telehealth helped me avoid having to go to hospital 3	Telehealth helped me avoid having to go to hospital 4	Telehealth helped me avoid having to go to hospital 5 (very unsatisfied)	Telehealth helped me avoid having to go to hospital N/A
Telehealth helped me avoid a visit to my GP as a result of my pain	Telehealth helped me avoid a visit to my GP as a result of my pain 1 (very satisfied)	Telehealth helped me avoid a visit to my GP as a result of my pain 2	Telehealth helped me avoid a visit to my GP as a result of my pain 3	Telehealth helped me avoid a visit to my GP as a result of my pain 4	Telehealth helped me avoid a visit to my GP as a result of my pain 5 (very unsatisfied)	Telehealth helped me avoid a visit to my GP as a result of my pain N/A
Telehealth helped educate me on my wellbeing and health	Telehealth helped educate me on my wellbeing and health 1 (very satisfied)	Telehealth helped educate me on my wellbeing and health 2	Telehealth helped educate me on my wellbeing and health 3	Telehealth helped educate me on my wellbeing and health 4	Telehealth helped educate me on my wellbeing and health 5 (very unsatisfied)	Telehealth helped educate me on my wellbeing and health N/A
Telehealth helped reduce my stress	Telehealth helped reduce my stress 1 (very satisfied)	Telehealth helped reduce my stress 2	Telehealth helped reduce my stress 3	Telehealth helped reduce my stress 4	Telehealth helped reduce my stress 5 (very unsatisfied)	Telehealth helped reduce my stress N/A

Helped in another way

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* 7. How do you rate the ease of your telehealth session with your myotherapist? Please tick 1 (very satisfied) to 5 (very unsatisfied) for each statement. Tick N/A 'not applicable' if the statement did not apply in your telehealth session.

	1 very satisfied	2	3	4	5 very unsatisfied	N/A
I could hear what my myotherapist said	I could hear what my myotherapist said 1 very satisfied	I could hear what my myotherapist said 2	I could hear what my myotherapist said 3	I could hear what my myotherapist said 4	I could hear what my myotherapist said 5 very unsatisfied	I could hear what my myotherapist said N/A
I could understand what my myotherapist said	I could understand what my myotherapist said 1 very satisfied	I could understand what my myotherapist said 2	I could understand what my myotherapist said 3	I could understand what my myotherapist said 4	I could understand what my myotherapist said 5 very unsatisfied	I could understand what my myotherapist said N/A
I could see my myotherapist clearly	I could see my myotherapist clearly 1 very satisfied	I could see my myotherapist clearly 2	I could see my myotherapist clearly 3	I could see my myotherapist clearly 4	I could see my myotherapist clearly 5 very unsatisfied	I could see my myotherapist clearly N/A
My myotherapist could see me clearly	My myotherapist could see me clearly 1 very satisfied	My myotherapist could see me clearly 2	My myotherapist could see me clearly 3	My myotherapist could see me clearly 4	My myotherapist could see me clearly 5 very unsatisfied	My myotherapist could see me clearly N/A

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* 8. When you had a telehealth session with your myotherapist, did you feel:

Very safe

Safe

Sometimes safe

Unsafe

Very unsafe

I would prefer not to say

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* 9. Did your myotherapist provide you with:

	Yes	No	Cannot recall	N/A
Patient informed consent form	Patient informed consent form Yes	Patient informed consent form No	Patient informed consent form Cannot recall	Patient informed consent form N/A
Options other than telehealth, should you prefer not to continue	Options other than telehealth, should you prefer not to continue Yes	Options other than telehealth, should you prefer not to continue No	Options other than telehealth, should you prefer not to continue Cannot recall	Options other than telehealth, should you prefer not to continue N/A
Fee structure prior to telealth consultation	Fee structure prior to telealth consultation Yes	Fee structure prior to telealth consultation No	Fee structure prior to telealth consultation Cannot recall	Fee structure prior to telealth consultation N/A
Information regarding private health rebates for teleahealth services	Information regarding private health rebates for teleahealth services Yes	Information regarding private health rebates for teleahealth services No	Information regarding private health rebates for teleahealth services Cannot recall	Information regarding private health rebates for teleahealth services N/A

Other information relevant to your telehealth consultation (please specify)

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* 10. Are you happy with the cost of the telehealth advice or treatment you received?

Yes

Unsure

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* 11. Do you believe the telehealth session gave you a health benefit?

Yes

Unsure

Other (please specify)

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* 12. Would you like more telehealth sessions with your myotherapist?

Yes

Unsure

Your telehealth session with a myotherapist

Your opinion about your myotherapy telehealth experience counts.

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* 1. Are you:

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* 2. How old are you?

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* 3. What state or territory do you live in?

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* 4. Are you Aboriginal or Torres Strait Islander?

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* 5. If you speak another language, what is the other language you can speak?

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* 6. This question asks you to rate how you feel telehealth has benefited you. Please tick 1 (very satisfied) to 5 (very unsatisfied) for each statement. Tick N/A 'not applicable' if the statement does not apply to you.

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* 7. How do you rate the ease of your telehealth session with your myotherapist? Please tick 1 (very satisfied) to 5 (very unsatisfied) for each statement. Tick N/A 'not applicable' if the statement did not apply in your telehealth session.

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* 8. When you had a telehealth session with your myotherapist, did you feel:

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* 9. Did your myotherapist provide you with:

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* 10. Are you happy with the cost of the telehealth advice or treatment you received?

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* 11. Do you believe the telehealth session gave you a health benefit?

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* 12. Would you like more telehealth sessions with your myotherapist?

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* 13. Is there anything else you would like to tell us about your telehealth experience with your myotherapist?