Chiropractic survey
Please take a minute of your time to fill out our survey
Have you ever experienced/currently experiencing chiropractic care? And has it benefited you?
Yes, and has benefited me greatly
Yes, and it benefited me fairly
Yes, but it did not help me
No, I have not experienced chiropractic care
What do you understand chiropractic care to be?
What needs do you feel are unmet in your current/previous practice?
What elements did you really value when visiting a chiropractor?
What services were you offered and/or provided?
Manipulation, adjustment, ‘clicking sensation’
Massage
Rehabilitation
Exercises
Taping
Shockwave
Ultrasound therapy
Laser therapy
Imaging (X-ray, ultrasound, MRI. Etc)
How much did you spend on treatment? (If applicable)
Was this a fair pricing? And why?
Were there hidden expenses? E.g. taping, extra equipment etc
Do you have any personal requirements that you would need catered for? (E.g. ramp for a wheelchair etc)
Back
Next
Pregnancy specific questions
Please only answer these if you are pregnant or have experienced pregnancy
Which trimester are you in?
1st
2nd
3rd
Previously pregnant
Have you experienced chiropractic care before/during this or previous pregnancy?
Yes, within this pregnancy
Yes, within previous pregnancies
Yes, in multiple pregnancies including this one
Yes, but not whilst ever being pregnant
No
Did it help?
Did you feel that you were in safe hands? And if you feel comfortable to do so, please explain why?
Do you/ did you require any extra equipment for treatment? If so please list what/description of what it is?
Did you pay extra for treatment during your pregnancy? How much? And why?
Back
Next
Children
If you are a parent please could you fill out this section
Do you have any children? If so, how many?
Have they experienced chiropractic care?
Yes, and it benefited them greatly
Yes, and it helped them fairly
Yes, but did not benefit them in anyway
No
What aspects made it useful? Or if it wasn’t beneficial, what made it so?
If your child was experiencing muscle/joint pain, would you consider chiropractic care for them?
Yes
No
Did you have any post-natal problems?
Yes
No
Would you return to the chiropractor previously seen, or could you be convinced elsewhere?
Yes, I’d return to my previous chiropractor
I could be convinced to be treated elsewhere
I’m looking for non-chiropractic methods
No, I’m not looking for any treatments
Submit
Should be Empty: