Do you have a herniated disc or bulging disc?
Yes
I'm not sure
What is your age?
60+
50-59
40-49
<40
Do you have an X-RAY or MRI of your spine (lumbar, cervical, thoracic)?
Yes
No
How long have you been dealing with your pain?
6 months
1-4 years
5-10 years
10+ years
Are you currently unable to walk and function as you wish (or have to modify the way you function)?
Yes
No
Are you currently using any of the following?
Walker
Cane
Wheelchair
None of the above
Have you received any of the following? Check all that apply.
Pain medication prescribed
Physical therapy
Epidural/Cortisone shot
Traditional chiropractic
None of the above
Have you gotten any of these surgeries yet?
Discectomy or Microdiscectomy
Laminectomy
Spinal fusion
None of the above
How ready do you feel to do something about your situation?
Somewhat ready
Very ready
I need something fast!
Non-surgical, non-invasive spinal decompression treatments are not fully covered by insurance. However, many affordable payment plans are available. Are you interested in a payment plan option?
Yes. I'm interested in affordable payment plan options
No. I have been saving for this type of treatment and will not need a payment plan
Almost done! Please fill in your contact information so we can reach you about your quiz results.
First Name
Last Name
Email
*
Phone
*