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. 2013 Apr 15;27(4):225–230.
TICK ONLY 1 BOX PER LINE Never Some-times Often Always
  1) ON THE BASIS OF PATIENT FEEDBACK (DISSATISFIED, REDUCED/LACK OF EFFICACY)?
1a) WHAT, FOR THE PATIENT, ARE THE FACTORS THAT CONTRIBUTE MOST TO PERCEIVED TREATMENT FAILURE?        
      PAIN INSUFFICIENTLY IMPROVED OR NOT IMPROVED?
      POSTURE INSUFICIENTLY IMPROVED OR NOT IMPROVED?
      OTHER?
  2) ON THE BASIS OF YOUR CLINICAL EXAMINATION?
    IF SO, PERFORMED USING   TWSTRS?
                      TSUI?
                      OTHER?
2a) WHAT, FOR YOU, ARE THE FACTORS THAT CONTRIBUTE MOST TO PERCEIVED TREATMENT FAILURE?        
      PAIN INSUFFICIENTLY IMPROVED OR NOT IMPROVED?
      POSTURE INSUFICIENTLY IMPROVED OR NOT IMPROVED?
      OTHER?
  3) DO YOU CONSIDER REDUCING THE INTERVAL BETWEEN INJECTIONS TO BE A RELEVANT FACTOR FOR DEFINITION OF TREATMENT FAILURE?        
  4) DO YOU CONFIRM THE DIAGNOSIS OF TREATMENT FAILURE WITH:
      4a) FRONTALIS TEST?
      4b) EXTENSOR DIGITORUM BREVIS TEST?
      4c) OTHER TEST?
  5) DO YOU PERFORM NEUTRALIZING ANTIBODY TESTING?