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  • Step 1Pain Symptoms
  • Step 2Pain History
  • Step 3Get Results

Tell Us About Your Pain

To Begin the Back & Neck Pain Evaluation, please answer the following questions about your primary source of pain.

Please select where the pain is.
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Please select if your pain gets worse with activity.
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Please select the type of pain.
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Associated Symptoms

Next, use the pain selector below to indicate any associated symptoms on the diagrams using the sensation pins.

Ache Numbness Pins & Needles Burning Stabbing

TIP: click a pin above, then click the area you want to mark on the figures. Repeat as needed for each pain type.

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Tell Us About Your History

To Continue the Back & Neck Pain Evaluation, Please answer the following questions about the history of your pain.

Please select how long you've experienced pain.
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Please select how the pain started.
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Personal Information

We Never Share Your Personal Information

Before we can get your results, we need a bit of personal information. This will help us get a better understanding of your situation and let us know how we can get in contact with you to help alleviate your pain.

Please enter your First name.
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Please enter your Last name.
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Please enter your email address.
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Please enter your phone number.
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Please select an insurance provider.
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