Sign in to your Google account to fill out this form
This form contains features which require sign in. Your identity will not be revealed.
Survey on Back Pain, It's Causes and Treatment
As part of my thesis, I am conducting a survey to identify how many respondents have back pain, what are the causes of their pain, how they deal with it and possible solutions and outcomes based on their responses.
Below 18 years of age
18 to 30 years of age
30 to 40 years of age
40 to 50 years of age
50 to 60 years of age
Above 60 years of age
What is your occupation?
Businessperson or Working Professional
Doctor or in the Medical Field
Do you suffer from back pain?
How often do you suffer from back pain?
Do you know the cause of your pain?
There is no pain
What is the cause of your pain?
How do you deal with the pain?
Applying heat or cooling
Wearing a brace or belt for support
Physical therapy or exercise
Would you prefer immediate relief from pain rather than wait for a suitable time to cope with it?
Would you prefer something fashionable or blending with your attire as a coping mechanism?
Never submit passwords through Google Forms.
This form was created inside of newschool.edu. -
Terms of Service