Back Pain Questionnaire
Fill this out get a $4 coupon code at the end.
What is causing your pain? (Select all the apply)
I don't know
How long have you been having this pain?
Less than 1 week
Over 6 Months
What have you tried to remedy your pain? (Select all the apply)
Advil, Tylenol, Over the counter pain relievers
On a scale of 0-10 what is your pain level? (0 being no pain and 10 being severe debilitating pain)
Have you had any of these tests? (Select all the apply)
Which therapy would you be more inclined to purchase?
A therapy that costs $1,000, guaranteed improvement by 12 weeks
A therapy that costs $5,000, guaranteed improvement by 2-3 weeks
A therapy that costs $10,000, guaranteed improvement in 2 Days
What would be your reason for not purchasing a product that you see online that would guarantee results?
Don't like to order online
Don't trust what is on the internet
If a therapy is uncomfortable but you feel better afterword would you continue the therapy?
Have you ever heard of spinal decompression therapy before?
Compression, like gravity squeezes your spine and compresses your discs, nerves and joints, do you think that compression could be causing your pain?
If your medical doctor told you that a therapy would not help you, even though you know it will, would you continue with the therapy or would you listen to your doctor and stop the therapy?
Continue with therapy
I would stop the therapy
What condition are you tying to fix? (Check all that apply)
Low Back Stiffness
Low Back Pain
If someone guaranteed you would feel better with a therapy that cost $100 would you purchase it or would you continue to do more research?
Do More Research
Which way do your prefer to order?
Call to order
Order from the website directly (just put your info in and submit order)
Order from Amazon if the item is there
I don't order online
A copy of your responses will be emailed to the address you provided.
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