3D Spine Simulator


Launch 3D Spine Simulator

Please print & bring this questionaire with you to your visit to find out & discuss your score with our practitioners.
 
Please check off the choice that best describes your Shoulder Pain.

1-Pain at rest
None
Light
Average
Severe

2-Pain in motion
None
Light
Average
Severe

3-Nightly pain
None
Light
Average
Severe

4-Sleeping problems caused by pain
None
Light
Average
Severe

5-Incapability of lying on the painful side
None
Light
Average
Severe

6-Degree of radiation
None
Till halfway the upper arm
Till the elbow
Past the elbow

7-Pain Scale: Indicate with a number between 1 and 100 that best discribes your pain.
0-9
10-39
40-69
70-100