1. How long have you had this pain?
Less than six months.
Six months to a year.
More than a year.
2. On a scale of 1-10, with "10" being the worst, how would you rate your pain?
3. Have you seen another doctor for this condition?
4. Have you had physical therapy for this condition?
5. Do you have MRI or x-ray studies of your back/neck?
6. Have you been told you should consider surgery for your condition?
7. Is your pain chronic or does it come and go?
Comes and Goes