What is hurting or feeling tight? *ShouldersNeckLow backHeadachesSciaticaOtherWhat does the pain limit, or what makes it flare up? *Exercise or sportsGetting through the dayPlaying with my kidsStanding or walking aroundSitting for workMy jobHousehold tasksSleepingHow much does this affect you? *It stops me from doing my usual activitiesIt hurts but I push through the painIt flares up at times but it’s nothing that slows me downWhat do you think it’ll take to fix this? *It can’t be that complicatedIt’ll probably take some time and consistencyWhere do you live? *IrvineCosta MesaNewport BeachSanta AnaOtherI work close to John Wayne AirportWe’re mostly out of network, but some insurance plans help with a portion of costs. Who’s your provider? *Blue ShieldAnthem Blue CrossAetnaUnited HealthcareCignaMediCare or MediCalKaiserOtherWhich of these best describes your approach to spending money on your health? *Health is wealth. I’m used to investing in what helps me feel my bestI take care of what I need to, but it’s not a big part of my budgetI prefer to go through my insurance for most health related costsIf you were confident that this would solve your problem, how quickly would you get on it? *ASAP! Text me if anything opens up soonerNext week or later I’d really like to get started, but I have a crazy scheduleI’m still on the fence about doing the $25 visit with X-rays and adjustmentSubmit
