Chiropractor Near Me

This questionnaire has been designed to give the doctor information as to how your pain has affected your ability to manage in everyday life. Please answer every question and mark in each section only ONE answer which applies to you right now. We realize you may consider that two of the statements in any one section relate to you, but please just mark the box which most closely describes your problem.

Oswetry

Instructions: Please answer every question and mark in each section only ONE answer which applies to you right now.