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Providence Chiropractic Clinic Accountant Survey
 
Please indicate your gender.
 
Male
 
Female
 
 
Please indicate your age in years.
   
 
 
Do you feel you have good posture?
 
Yes
 
No
 
 
Have you ever been told that one leg is shorter than the other?
 
Yes
 
No
 
 
Do you experience any of the following common complaints? (check all that apply)
 
Headaches
 
Neck Pain
 
Low Back Pain
 
Arm and/or hand pain/numbness
 
Leg and/or foot pain/numbness
 
Other issues
 
 
Do you notice a change in your symptoms listed in the previous question during the crunch of "tax time"? (check all that apply)
 
Increased frequency (more often)
 
Increased intensity (worse)
 
New symptoms develop
 
There is no difference
 
Fewer symptoms/less intensity
 
 
Does "tax time" have an effect on the amount of time you spend in the office?
 
No, it causes no change to my hours
 
Yes, I spend 0-5 more hours per week in the office
 
Yes, I spend 5-10 more hours per week in the office
 
Yes, I spend 10-20 more hours per week in the office
 
Yes, I spend more than 20 more hours per week in the office
 
 
Which of the following (if any) aggravate your symptoms when working? (check all that apply)
 
Longer hours during busy season
 
poor ergonomics
 
not taking enough breaks
 
excessive desk/computer work
 
increase stress levels
 
Other
 
 
Have you found any successful treatments for managing your symptoms? (check all that apply)
 
Over the counter medications
 
Prescription medications
 
Chiropractic
 
Massage Therapy
 
Acupuncture
 
Exercize/Yoga
 
Other
 
Nothing Helps
 
 
Do your increased symptoms (if you had any) fade with the end of "tax time" on their own?
 
Yes, almost immediately
 
Yes, within a couple weeks
 
Yes, but it takes a month or more
 
Not without treatment
 
I have no increased symptoms during tax season
 
Please contact dr.kuhn@providencenucca.com if you have any questions regarding this survey.
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