Zoetic Motion Survey for Physical Therapy
We're building Zoetic Motion for therapists & their patients and we want to learn from you. *All information is kept private & confidential*
Name
First Name
Last Name
Email
*
example@example.com
What brings you here?
*
I am a Physical Therapist (PT)
I am a PT Assistant
I am a Surgeon/Medical Doctor
I am a Clinical Admin
I am/was a Physical Therapy Attendee
Looking to Connect with the Team (Investments and Fundraising)
Referring a Contact (PT, Subject Matter Expert, etc)
Can we contact you about your responses to learn more?
*
Yes
No
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Next
Most often, why do you refer a patient to PT?
Post-Surgical Care
Post-Car Accident
Post-Injury
Reducing Pain
Arthritis
Improving Mobility
Once referred, how often do you checkin on patient progress?
Never- trusting the PT
Followup after therapy program completion
Regular followups (1-2x a week)
Receive Feedback from PT
When Patient reaches out
Are there any common challenges your patients have shared with you?
For example, pain during recovery homework, lack of motivation, etc.
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Next
On average, what is the age of your clients? (You can select multiple)
0-10 years old
10-20 years old
30-45
45-60
60-80
80+
Have you used a Software Tool for HEP?
Web PT
PhysiTrack
Physical Printouts
Genie in a bottle: What are your top three wishes to improve your practice?
What help do you potentially need?
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Next
On average, what is the age of your clients? (You can select multiple)
0-10 years old
10-20 years old
30-45
45-60
60-80
80+
Of the following, which do you see the most of? Please pick your top 2.
Hip/Knee Replacement
Inpatient Rehab
Musculoskeletal (MSK)
Gait-related
Sports Therapy
Geriatric Rehab
Pediatric Rehab
Neurological Rehab
Hand Physical Therapy
Occupational PT
Have you used a Software Tool for HEP?
Web PT
PhysiTrack
Physical Printouts
As a PT or Care Provider, what is your biggest struggle with providing care?
Unmotivated Patients; limited goals
Losing time to re-training exercises between sessions
Having to readmit/schedule patients more frequently because they're not independent in their care
Poor HEP adherence
Genie in a bottle: What are your top three wishes to improve your experience as a PT?
What help do you potentially need?
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Next
How do you measure patient success & experience?
What is a win for you as care providers?
How do you measure success for your practice?
What is a win for your clinic?
What key metrics drive your practice?
For example: revenue, patient satisfaction, referrals, etc.
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Current solutions meet the needs of all my patients (i.e. paper print or software tool)
1
2
3
4
5
Not at all
Exceeding Expectations
1 is Not at all, 5 is Exceeding Expectations
How important is patient feedback while doing exercises outside of the clinic?
1
2
3
4
5
Low Priority
High Priority
1 is Low Priority, 5 is High Priority
I am interested in supplementing my patient's at-home recovery period with an AI-coach that tracks & corrects them, while giving me real-time updates between clinic visits.
1
2
3
4
5
Not sure/Not motivated
I NEED ZOETIC MOTION NOW!
1 is Not sure/Not motivated, 5 is I NEED ZOETIC MOTION NOW!
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Next
How did you find out about us?
Google Search
Friend/Family
Innovation Competition
College or University
Zoetic Motion Team
Zoetic Motion Website
In-Person Event
If you have attended Physical Therapy as a patient, what challenges have you faced?
Staying Motivated
Consistency with home recovery plan
Lack of Support
Pain preventing progress
Having to re-do PT after limited success the first time
Chronic pain management
If you are sharing the contact information of a PT, Advisor, or SME, please include their name, email or phone, and role here.
Example: Dr. Steven Zoe, DPT at ZM PT Clinic, steven@zmptclinic.com
Additional Notes/Feedback
Should we contact you about fundraising and investments?
Yes
No
Join Zoetic's Team of Experts
We value real feedback and are creating a founding class of Zoetic Motion superusers, designed with your feedback in mind. Select "Yes" to join a select team of experts contributing to our vision. We will keep all info private, and will only use your support in designing our product *This will not be a sales call.* 1-2 hours a month involvement, get rewarded with gift cards!
Are you interested in joining our team of experts?
Yes
No
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