Tell Us About Your Back Pain
Please take a couple of minutes to tell us more about what you're experiencing. Your answers will help Dr. Fischer better understand your condition and determine whether spinal decompression may be appropriate for you.
Where are you experiencing pain? (Select all that apply)
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Lower back
Buttock(s)
Into one or both legs
Other (type your answer below)
What other area?
How long have you been dealing with this problem?
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Less than 1 month
1 - 3 months
3 - 6 months
6 - 12 months
Over 1 year
Have you been told you have any of the following? (Select all that apply)
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Herniated / Bulging disc(s)
Sciatica
Spinal Stenosis
Degenerative Disc Disease
Arthritis in the Back
I have not been diagnosed yet
Have you had an MRI of your lower back?
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Select an option
What treatments have you tried for this problem? (Select all that apply)
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Chiropractic
Physical Therapy
Injections / Ablations
Medications
Non-Surgical Decompression
I have not tried any treatment before
Other (type your answer below)
What other treatment have you tried?
What is this problem interfering with / keeping you from doing that you would like to be able to do?
What is your current pain level?
Select an option
What would you like to do next?
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I'm ready to schedule my $49 Spinal Decompression Special. Please send me the secure link to get started.
I'd like Dr. Fischer to call me to discuss my condition and answer my questions.
I'm interested, but I'm not ready to take care of this right now. Please follow up with me in the future.