How long have you been experiencing pain or had an injury? *

Less than 1 month

1-6 months

6-12 months

Over 1 year

Where is your pain/injury located? *

Neck/Back/Spine

Shoulders/Elbows

Hand/Wrist

Hip/Knees

Leg/Foot/Ankle

Multiple Areas

Rate your pain scale from 1-10. *

What have you already tried? (Check all that apply) *

Physical Therapy

Chiropractor

Medication

Injections

Surgery

Nothing yet

How is pain affecting your life? (Check all that apply) *

Can't exercise

Trouble sleeping

Missing work

Avoiding social activities

Difficulty with daily tasks

NEXT