The health of your body is directly proportional to the health of your spine. Every function in the body is controlled and coordinated by the nervous system. If there are vertebral subluxations (misalignments) this will disrupt the normal nerve flow. It lowers the bodies ability to regulate all these functions. Please take a few minutes to fill out this survey to determine the level of your spinal health.
Take our "Got Subluxation" health test and discover if you may be a candidate for a spinal and neurological check-up!
1) On average how many pain relievers, antacid, tranquilizer, sinus or any other relief oriented medicine do you take per week?
Daily (7), most days (5-6), every other day (3-4), couple times a week (2), once a week (1)
2) How many auto accidents have you been involved in throughout your life (count any over 10 m.p.h.)? Include those you were a passenger.
(1), (2), (3), (4), (5 or more)
3) How often do you have neck pain?
Daily (7), most days (5-6), every other day (3-4), couple times a week (2), couple times a month (1)
4) How often do you have back pain?
Daily (7), most days (5-6), every other day (3-4), couple times a week (2), couple times a month (1)
5) Do you feel fatigued late in the day?
Always (5), sometimes (3), rarely (1), never (0)
6) Do you suffer from arthritis?
Always (5), sometimes (3), rarely (1), never (0)
7) Do you have daily/weekly digestive problems?
Always (5), sometimes (3), rarely (1), never (0)
8) Do you get pain between the shoulder blades?
Always (5), sometimes (3), rarely (1), never (0)
9) Do you suffer from headaches or migraines?
Daily (7), most days (5-6), every other day (3-4), couple times a week (2), couple times a month (1)
10) Do you have constant or regular shoulder, hip, elbow or knee pain?
Always (5), sometimes (3), rarely (1), never (0)
11) How many slips or falls have you taken throughout your life? Have you ever fallen down the stairs, or off the swing or monkey bars as a youngster?
(1), (2), (3), (4), (5 or more)
12) Have you ever had any broken bones?
Yes (3), No (0)
13) Have you ever received stitches from falls or impacts?
Yes (3), No (0)
14) Have you ever had a concussion or black out from any impact?
Yes (7), No (0)
Your Score:
The higher your score the greater likelihood you could benefit from Chiropractic care! If you would like to make an appointment to discuss Your Score and your health concerns you may call us at (661) 251-0314. We offer a complimentary free consultation to discuss with the doctor your problems and to determine if we might be able to help. This is a no obligation consultation to meet with the doctor.