Are You Really Healthy?

Take the following test:

Have you experienced any of the following symptoms in the past 6 months?

1. Headaches 2. Fatigue 3. Neck Tension/Pain 4. Low Back Tension/Pain 5. Sleep Disturbances 6. Irritability 7. Digestive Problems 8. Allergies

Which of the above is worse? _____________________________________________

How long have you had it? ________________________________________________

When it is at its worse, how does it feel? __________________________________

Does this cause? Does this affect your work? Does this affect your life?

-Moodiness -Decision-making -Lose patience?

-Irritability -Poor attitude -Restricted household duties?

-Interrupted sleep -Decreased productivity -Hinders ability to exercise?

-Restricted daily activities -Exhausted at end of day?

-Interferes with hobbies?

If you can relate to any of the above items, this means your body is not functioning properly.

These symptoms act as warning!

Doctors of chiropractic aim to correct the cause of your symptoms, naturally, without drugs to remove the stress and imbalances of the body.

PLEASE NOTE: This survey is presented as a public service in order to help members of the public determine it any of their current health problems warrant being checked by a chiropractor. It is no way meant to make a diagnosis or to suggest discontinuation of any current treatment.