About You
About Health
0%
Name
Male
Female
Sedentary
Active
Heavy Work/Lifting
Less Than 10 Min
Less Than 20 Min
Less Than 30 Min
Less than 1 Week
Less than 3 Weeks
Less than 6 Weeks
Mild
Moderate
Severe
Yes
No
Yes
No
Upload MRI Report(.jpg,.jpeg,.png,.pdf):
Upper back pain
Mid back pain
Low back pain
Neck pain
Arm pain
Leg pain
Back pain and leg pain
Neck pain with arm pain
Yes
No
Yes
No
Yes
No
Disturbed
Undisturbed
Affected
Unaffected
Yes
No
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