Employee Wellness Programs

…can improve productivity and results!

To schedule your free corporate needs assessment click Corporate Wellness Survey or contact us directly.

Educational Videos & Articles!
Take our Health Survey!
New Patient, Initial Visit Offer!

For better spine health, exercise regularly!

Regular exercise and strengthening activities will promote a healthier, stronger and more stable spine. Start an exercise program slowly to give your muscles a chance to warm up. Check with your doctor prior to engaging in an exercise program.

Health Survey

Thank you for taking your health seriously!

This health survey is designed to help us help you in the most efficient manner possible. Just complete your survey and submit the information. We will contact you for a survey consult.

Name:
Employer:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Date of Birth:

Please check any of the following symptoms you have experienced in the last 2 months.

(Please Check all that apply. Hold down “Control for PC” and “Command for Mac” to select multiple symptoms)

Which of these symptoms is the worst?
How long have you had it?
How often does it occur?
How Does it Feel at its Worst? 1 being least and 10 being most painful

How does it affect you at its worst?

(Please Check all that apply. Hold down “Control for PC” and “Command for Mac” to select multiple symptoms)

How important on a scale of 1-10 is it to you to eliminate this problem?
Are you pregnant?
Have you ever had an injuries or accidents?
If yes please provide date and short description.

What type of doctor are you currently seeing?

Last Visit?

Health Insurance Information

Name of Insurance Company

How did you hear about us?

Download the free Health Survey in PDF format here.
Contact Us

chiropractic, k laser therapy, mua, chiropractor clinic, biltmore mall, physical rehabilitation, pain relief phoenix physical rehabilitation, pain relief