Survey on APTA's Movement System Diagnoses Template

The Movement System Diagnosis Template has been developed to allow physical therapists to submit examples of movement system diagnoses. 

In this survey, we are asking for your feedback on the clarity and usefulness of each part of the template.  You will also have the option to provide any comments and/or suggested edits.


Diagnosis (Label): Proposed name of movement system problem (diagnosis should be related to movement).

Is the wording clear?
Is the information being asked for useful in developing a diagnosis?
Comments and/or suggested edits:

Description of the Movement Problem: Key comments from patient/client/family/caregiver about the movement problem:    

Chief complaint; reason for seeking care


Is the wording clear?
Is the information being asked for useful in developing a diagnosis?
Comments and/or suggested edits:

Description of onset:  What factors modify the problem from the patient/client/caregiver’s perspective (e.g. what makes the problem worse/better)  

Is the wording clear?
Is the information being asked for useful in developing a diagnosis?
Comments and/or suggested edits:
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