Arora Family Chiropractic Question Title * 1. What services have you tried with us in the past? Chiropractic Athletic Therapy Physiotherapy Massage Shockwave Therapy Spinal Decompression Custom Orthotics Acupuncture (provided by Dr. Cook/Ashley/Dan) Question Title * 2. Which of the below services at our clinic would interest you in the future? Chiropractic Athletic Therapy Physiotherapy Massage Shockwave Therapy Spinal Decompression Custom Orthotics Acupuncture (provided by Dr. Cook/Ashley/Dan) Post-partum Treatment Health-related classes/educational sessions Meditation or mindfulness services Question Title * 3. Which conditions are you most interested in getting treatment for? Neck or back pain Migraines/headaches Sciatic pain Other types of nerve pain - numbness/tingling Knee Pain Shoulder Pain Dizziness/Vertigo/Ear pain Post-partum pain General health and wellness/maintenance/prevention Question Title * 4. How important is direct billing for you? Extremely important Very important Somewhat important Not so important Not at all important Question Title * 5. How important is collaborative care for you? ie. being treated by multiple practitioners? Extremely important Very important Somewhat important Not so important Not at all important Question Title * 6. Based on your interaction with our clinic, how likely is it that you would recommend Arora Family Chiropractic to a friend or colleague? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Question Title * 7. Is there anything that you think would improve our clinic/customer support? Question Title * 8. If you would like to be entered in a draw for a $50 Amazon gift card, please write your name. If you are okay with us contacting you, type the word "Yes". Done