Back Pain Self-Test

Are You Tired of Low Back Pain?

Are You Looking For Help?

This list contains some sentences that people have used to describe themselves when they have back pain. When you read them, you may find that some stand out because they describe you today. As you read the list, think of yourself today. When you read a sentence that describes how you feel today, check the box next to it. If the sentence does not describe you, then leave the box blank and go on to the next one.


























Your personal information will never be shared or sold. It will only be used by the Busch Chiropractic Pain Center to contact you regarding treatment.