December 1, 1998
My name is Carrie Scheberies and I am completing my Masters degree in Physical Therapy at Armstrong Atlantic State University. I am currently working on my thesis requirement and have chosen to focus on issues regarding the Postpolio group. I am surveying people with Postpolio Syndrome to ascertain the level of patient satisfaction with physical therapy services. Much current research regarding Postpolio Syndrome has expressed patient dissatisfaction with health care in general, yet none has specifically focused on physical therapy services.
The information obtained by this survey will offer insight as to current patient satisfaction with physical therapy and which areas of service clients may feel are not as beneficial. It may also be a means to discover ways to improve the patient-provider relationship for better quality of care.
Criteria for inclusion in this study are
that you were initially diagnosed with polio years ago, that you have since been diagnosed with Postpolio Syndrome, and that you have seen a physical therapist in the last year.Attached is a Therapist Evaluation Form and some additional questions regarding your perceptions of your physical therapy experience. Your participation in this study is voluntary. These questions should take approximately ten minutes to complete. Please return this survey to the investigator upon completion either by emailing it or by mailing it to the respective address below. I will score these surveys personally and ensure that your answers will be kept confidential. Completion of this survey will be regarded as your informed consent.
If you have any questions about the survey, please feel free to contact me at the Department of Physical Therapy at Armstrong Atlantic State University (912)-921-2327. If you have any questions or concerns about your rights as a research participant in this study, you may contact the Institutional Review Board Chairman at Armstrong Atlantic State University, Dr. Emma T. Simon. Her telephone number is (912) 927-5377.
Thank you so much for your time and cooperation. Your participation is greatly appreciated.
email address: firstname.lastname@example.org
mailing address: 437-B Tibet Avenue, Savannah, Ga. 31406