Pain Assessment Quiz Is Chiropractic or Acupuncture Right for You? Take Our 60-Second Pain Assessment Quiz "*" indicates required fields Step 1 of 10 10% What is the level of pain you are experiencing?* 1 2 3 4 5 6 7 8 9 10 (10 being the most severe) Where is the source of your pain?* Headache Neck Shoulders Arms Back Legs Knees Feet Other (Check all that apply) What type of doctors have you seen for your pain?* Chiropractor Pain Management Neurologist Orthopedic Surgeon General/Family Doctor Other None (check all that apply) What medications or treatments are you receiving for your pain? Chiropractic Treatment Physical Therapy Acupuncture Opioid Pain Medication Muscle Relaxants NSAID Other/Unsure None (Check all that apply) How did the pain begin?* Accident at Home Vehicle Accident Accident at Work/Work Related 'Just Begin' After Surgery 'Came on Gradually' After an Illness Sports Related Other (Check all that appy) Have you had any of the following treatments/procedures?* Epidural Steroid Injection Joint Injection Trigger Point Injection Nerve Block Percutaneous Discectomy None Of The Above (Check all the apply) Have you had any of the following tests for this condition?* MRI CAT Scan EMG Other Test Not Listed None (Check all that may apply)Have you had any surgeries related to your existing pain or any prior pain conditions?* Yes No Do you have any type of health or medical insurance?* Yes No Do you have any additional information about your pain you want us to know or any questions about treatment options we can help answer? What is your email?* (Used only to send treatment qualification information)What is your name?* First Last Verify your phone number?*Last Question. What is your Zip Code* 63524 60-second Pain Assessment Quiz 60-second Pain Assessment QuizStep 1: Discover It all starts with our 60-second Pain Assessment Quiz. Tell us about the pain and discomfort you are experiencing to see that treatment options work for you. 60-second Pain Assessment Quiz Personalized Care PlanStep 2: Plan Together, we'll create a treatment plan personalized to your needs. You will get the honest advice you deserve, complete with available treatments, pricing, options, and more. 60-second Pain Assessment Quiz Partners in TreatmentStep 3: Treatment After discussing your options, we will help you choose the fastest, most cost-efficient treatment plan to address your pain and discomfort so you can start living a pain-free life.