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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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