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602-633-1063
4.9
109 reviews
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602-633-1063
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No drugs, No injections, No surgery
4.9
109 reviews
602-633-1063
Pain Quiz
Do you experience chronic pain?
Yes
No
Do you experience pain, numbness, or tingling sensations in your hands or feet?
Yes
No
How long have you been experiencing chronic pain?
Less than 6 months
6 months to 1 year
1-2 years
Over 2 years
Please describe the type of pain you are experiencing.
Dull and aching
Sharp and stabbing
Burning
Throbbing
Other
On a scale of 1 to 10, with 1 being mild and 10 being severe, how would you rate the severity of your chronic pain?
1-3 (Mild)
6 (Moderate)
7-9 (Severe)
10 (Extreme)
How does chronic pain affect your daily life and activities?
Limits my ability to work
Affects my sleep
Impacts my mood and mental well-being
Restricts my mobility
None of the above
Where are you experiencing your pain?
Neck and shoulder
Back and legs
Legs and Feet
Other
If you have back pain is it worse with?
I do not have back pain
standing and/or walking
Sitting and/or bending
If you have joint pain is it worse?
I do not have joint pain
Only with With Movement
is it constant
is it worse when you first wake up
Is it worse as the day goes on
Does your pain change with the weather?
Yes
No
Have you tried any treatments or therapies to manage your chronic pain?
Medications
Physical therapy
Injections (e.g., cortisone)
Alternative therapies (specify)
None
Have you tried any treatments that didn’t give you the desired results?
Physical Therapy
Pain management
None
Other
Were previous treatments effective in providing relief for your chronic pain?
Yes
No
Partially
Are you open to exploring non-invasive, alternative options for chronic pain relief?
Yes, I prefer non-invasive options
No, I prefer traditional treatments
I’m open to exploring all options