Pre-Visit Questionnaire

Tell us about your pain before you come in. We read every one and reply with whether you are a candidate for care here — which means you find out before you book, not after you have paid for a consultation.

Please complete the below survey and we will contact you shortly whether or not you are a candidate for Chiropractic care

We appreciate your interest in finding more about chiropractic care and our protocol for back and neck pain treatment. We are dedicated to providing state-of-the-art non-surgical treatment protocols for chronic and severe pain conditions. Our non-invasive treatment protocols incorporate expertise that includes Non-Surgical Spinal Decompression as well as additional rehabilitative therapies and treatment programs such as chiropractic care.

We also acknowledge that patient(s) visiting this website search for options for their pain. Nobody wants to be in pain or constrained in the things they like to do in life. Our objective is to evaluate and treat the root cause of your pain. Not everyone qualifies for a candidate for this treatment program, and therefore it is important to provide us with as much detailed information below to see if you qualify for a consultation. We will make every attempt to contact you immediately and confirm your qualification for a consultation.

Tell us about your pain

Name, email and phone are all we need to reach you. The detail goes in the message box — the more of the points opposite you cover, the better the answer you get back.

Why fill this in before you visit

  • You find out if you qualify. Not every case is suitable for non-surgical spinal decompression or for chiropractic care. Sending the detail first means we can say so before you book a consultation.
  • The first appointment starts further along. The initial consultation runs about 45 minutes and begins with your history — sending it ahead leaves more of that time for the examination itself.
  • We know what to have ready. If you mention an existing MRI or X-ray we can ask you to bring it, rather than sending you away for one.

What the consultation and examination actually involve is set out on chiropractic treatment.

Ready to come in?

  • Book an appointment — phone is fastest, and we can usually find a time the same week.
  • Contact us — phone, email, address and opening hours.
  • Common conditions — check whether we treat what you have.
  • Treatments — chiropractic, spinal decompression, laser and shockwave therapy.