Can you sleep without pain?
*
Yes
No
Can you sit without pain?
*
Yes
No
Have you been regularly following a professionally prescribed spinal health plan for at least 4 months?
*
Yes
No
Can you lift heavy objects without pain?
*
Yes
No
Do you suffer from headaches?
*
Yes
No
Are you hunched over?
*
Yes
No
Do you have great energy levels?
*
Yes
No
Do you sit for more than 4 hours per day?
*
Yes
No
Have you had a chiropractic spinal health exam within the past 12 months?
*
Yes
No
Do you take medications for pain, headaches or inflammation?
*
Yes
NO
Great job — you're halfway there! Let’s keep going to see how your body’s really doing.
Do you perform at least 30 minutes of aerobic exercise (e.g. brisk walking, hiking, biking jogging, swimming etc.) at least 3 times per week?
*
Yes
No
Do you sleep deeply?
*
Yes
No
Do you have anxiety?
*
Yes
No
Can you walk without pain?
*
Yes
No
Can you turn your head and neck in all directions without any limitation?
*
Yes
No
Do you have mental or emotional stress?
*
Yes
No
Can you stand without pain?
*
Yes
No
Can you work without pain?
*
Yes
No
Do you wake up tired?
*
Yes
No
Have you ever had an injury to your spine (from falls, accidents, work or sports activities) which resulted in neck or back pain?
*
Yes
No
Do you perform daily spinal conditioning exercises (exercises to mobilise and strengthen spine and spinal postural muscles)?
*
Yes
No
Do you suffer from brain fog?
*
Yes
No
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Last Name
Email
*
Phone
*