We hope you've been enjoying treatments now that you’ve had your device for several weeks. Tell us how things are going.

How long have you had your RS Medical device?*

1 week

2 weeks

3 weeks

4 weeks

More than 4 weeks

More than 8 weeks

More than 6 months

How often are you using it?*

Do not use it at all

1-3x per week

4-6x per week

7-9x per week

10-12x per week

More than 14 times/week

What area(s) have you been treating? (Check all that apply)*

AFTER taking a treatment, describe your level of PAIN choosing a number from 0 to 10.*

No pain

Pain sometimes distracts me

Pain interrupts some daily activities

Pain prevents daily activities

As bad as it could be

How long do you experience relief of your symptoms following a treatment?

Less than 1 hr

1-2 hrs

2-4 hrs

4-6 hrs

6-8 hrs

8+hrs

How has pain interfered with your ACTIVITY since using your device?*

Does not interfere

Completely interferes

How has pain interfered with your SLEEP?*

Does not affect

Completely affects

How has pain affected your MOOD?*

Does not affect

Completely affects

How has pain contributed to your STRESS?*

Does not contribute

Completely contributes

How have MUSCLE SPASMS interfered with daily activities?*

Do not interfere

Completely interfere

How has your use of pain medication changed?

Reduced dose/amount

Take medication less often

Take fewer medications

No longer need prescription medication

Occasionally need OTC medication

Don’t need any medication

Has using your device helped you perform more daily activities?

Yes

No

Please provide examples:

Would you like to continue using it at home?

Yes

No

Please explain:

Are you having trouble placing the electrode pads?

Yes

No

Please explain:

Tell us what it’s like when you’re using the device.

When you first power on the device, how many segments are displayed?

2 segments

3 segments

If using an RS-4i Plus, what is your level of comfort while using the pain segment?

Not comfortable

Completely comfortable

What is your level of comfort while using the muscle segment?

Not comfortable

Completely comfortable

If using an RS-4i Plus, what is your level of comfort while using the Intersperse segment?

Not comfortable

Completely comfortable

How likely is it that you would recommend this device to someone you know?

Not at all likely

Extremely likely

Please share any additional comments: