Stress Test

The Purpose of this stress survey is to determine if any health problems you may be having are due to stress.

Personal Information

Symptoms

Effects

Which of the following do you experience as a result of your symptoms?

Do the symptoms above affect your work performance? If so, which of the following are affected?

Which of the following can be attributed to your symptoms?

Results

If you checked any of the above items, then you could be suffering from excessive stress, structural misalignment or pinched nerves.

We can help you because we gently treat your body, naturally, without drugs to remove the stress and imbalances that cause health problems.

If you would like to discuss your symptoms and get information on treatment options then please contact us or let us know the best time to contact you.

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