Michael Family Chiropractic Pain Solution

It just takes 30 seconds to see if you qualify for our effective & natural pain treatment at Z - Michael Family Chiropractic!

How often do you experience pain?

Never

Never
Rarely
Occasionally
Frequently
Always
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On a scale of 0-10 where 0 is least, how intense is your pain?

Does your pain keep you from enjoying life?

Yes

Yes
No
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Which best describes your current situation? (Check All That Apply)

I change position frequently to try to get comfortable

I have to use a handrail to get upstairs

I get dressed more slowly due to pain

I'm only able to stand for short periods of time

I try not to bend or kneel down

Back/Leg pain interferes with my sleep

I am unable to play with my kids/grandkids due to pain

Have you had any surgeries for your existing pain or any prior pain conditions?

Yes

Yes
No
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Where is the source of your pain? (Check All That Apply)

Lower Back

Mid-Back

Neck

Shoulder

Elbow

Legs

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Michael Family Chiropractic | 3246 Atlanta Rd SE, Smyrna, GA 30080 | 470-431-4549

Offer available for new clients only.