Start the Scoliosis Quiz!

It only takes 2 minutes to complete!

After you complete the quiz, one of our patient coordinators will reach out via phone, text, or email to discuss your results and help you schedule an appointment if appropriate.

Your responses are completely confidential and will help guide you toward the right next step in your care.

Let’s get started!

Physical Signs & Symptoms

We'll ask about any physical changes you may have noticed. These visual indicators can help us better understand your spinal health and determine if further evaluation might be beneficial.

When you look in the mirror, do you notice that one shoulder appears higher than the other? *

Do you notice that one hip appears higher than the other when standing? *

When you bend forward at the waist, does someone notice a hump or prominence on one side of your back? *

Looking at your spine from behind, does it appear to curve to one side? *

Your Comfort & Daily Life

Tell us about any pain or discomfort you're experiencing. Understanding how your symptoms affect your daily activities helps us assess the potential impact on your quality of life.

Are you currently experiencing pain in your back or spine? *

How would you describe the frequency of your back pain? *

Does your back pain worsen with prolonged sitting or standing? *

Do you experience shortness of breath or feel like your ribcage is compressed? *

Your Health Background

A few questions about your medical history and family background. This information helps us provide more personalized guidance and identify any relevant risk factors.

When did you first notice changes in your spine or posture? *

How has your posture changed over the past few years? *

Is there a family history of scoliosis in your immediate family? *

Have you ever been told by a doctor that you have scoliosis? *

Tell Us About You!

Let us know how to reach you so we can provide personalized recommendations and connect you with the right scoliosis care options!

You can expect to hear from us via phone call, text message, or email within 1-2 business days.

First Name *

Last Name *

Email *

Phone

By submitting this form, I agree to receive SMS communications and marketing messages at the phone number provided above from The Advanced Spine Center via the phone number 973-791-4101. I understand that in addition to responses to any queries I send to The Advanced Spine Center, I may receive up to one marketing message per week. Data rates may apply. Reply STOP at any time to opt-out of all SMS messages from The Advanced Spine Center.