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  Discover Chiropractic Center   Do I Need My Spine Checked?
 
 
 
 
 
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  Please answer Yes or No for the following questions.  
     
  For a downloadable PDF version- Click Here  
     
     
 
1. Spinal misalignments can make you feel the need to twist, stretch or crack your neck or back.  I feel the need to crack or pop my neck, mid back, or low back.
 
     
  YES or NO  
     
     
     
     
2. I have numbness or pain in my arms or legs often.
     
YES or NO
     
     
  4. I take over the counter or prescribed pain medicine for back pain, headaches or neck pain.  
     
  YES or NO  
     
     
     
     
  5. I have a hard time bending at the waist due to stiffness and pain.  
     
YES or NO
     
     
  6. I have been told that I have a spinal curvature, scoliosis, spinal arthritis, or an inherited spinal problem.  
     
  YES or NO  
     
     
     
     
  7. Research shows that the spine should be checked regularly.  Have you ever visited a chiropractor in your lifetime?  
     
  YES or NO  
     
     
     
     
  8. I suffer from problems with the following:
 
     
  Please choose as many as apply:  
     
 
Neck Pain Back Pain Extremity Pain
Radiating Pain Headaches Sciatica
Tingling Numbness Sports Injuries
Mid Back Pain Carpal Tunnel   
 
     
     
 
If you answered YES to any of the above questions or choose one of the above symptoms you may have a spinal misalignment and should
have your spine checked by a doctor of chiropractic.
 
     
  Any Questions?  
     
     
     
 

Are you on the path to a Healthy Lifestyle?

 
  Are you on the path to a Healthy Lifestyle?  
     
     
     
 
 
     
     
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