Please complete the survey(s) relating to your condition prior to your first visit with our office. Your responses will be included in your patient chart, and results will be sent securely to our office. If you are unable you complete the appropriate surveys in time for your visit, they may be completed when you arrive for your first appointment.
- PAIN SCALE | If we will be treating you for pain, please complete this form
- NECK DISABILITY INDEX | Neck pain or discomfort
- QUICK DASH | Shoulder, elbow, wrist and/or hand discomfort
- MODIFIED OSWESTRY | Back pain or discomfort
- LOWER EXTREMITY SCALE | Conditions of hips, legs, knees, ankles and/or feet
- DIZZINESS HANDICAP INVENTORY | Vertigo or dizziness
- ABC SCORE | Complete if you are having difficulty walking, or are unsteady on your feet
