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Please check the medications you have taken in the last 24 hours for your current neck condition (check all that apply)

Vicodin Percocet Methadone Oxycontin Norco Tylenol Ibuprofen Aspirin
Celebrex Volteren Lodine Indocin Orudis Toradol Mobic Relafen
Naproxen Aleve Daypro Vioxx Bextra


What other medical professionals have you seen for your current neck condition? (check all that apply)



Please rate your average Neck pain or symptom on a scale of 0-10 with "0" equals no pain and "10" equals the worst pain imaginable.



Please rate your average Arm pain or symptom on a scale of 0-10 with "0" equals no pain and "10" equals the worst pain imaginable.


Have you had 60 minutes without any pain in the last 24 hours?



How many days of work have you missed because of these symptoms?