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Neck Assessment

This brief assessment is designed to help us better understand your current neck symptoms, movement patterns, and daily habits.

Your responses will give insight into factors that may be contributing to neck tension, stiffness, headaches, and mobility limitations, so we can better support you throughout the Neck + Upper Back Reset program.

Please answer each question honestly based on your usual experience. There are no right or wrong answers—this is simply to help guide your care and identify key areas of focus.

It should only take a few minutes to complete.

Click the button below to start.

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Question 1 of 10

1. How often do you experience neck stiffness?

A

Rarely

B

Weekly

C

Several times per week

D

Daily

Question 2 of 10

2. Do you wake up with neck tension? 

A

Never

B

Occasionally

C

Frequently

D

Almost every day

Question 3 of 10

3.  How often do headaches accompany your neck symptoms?

A

Never

B

Occasionally

C

Weekly

D

Frequently

Question 4 of 10

4. When turning your head while driving:

A

No restriction

B

Slight restriction

C

Moderate restriction

D

Significant restriction

Question 5 of 10

5. How many hours per day do you spend sitting at a computer?

A

Less than 2

B

2–4

C

4-6

D

More than 6

Question 6 of 10

6. How often do you stretch your neck?

A

Never

B

Occasionally

C

Weekly

D

Daily

Question 7 of 10

7. Do you notice jaw clenching or teeth grinding?

A

Never

B

Occasionally

C

Frequently

D

Daily

Question 8 of 10

8. Do you feel tension between your shoulder blades?

A

Never

B

Occasionally

C

Frequently

D

Daily

Question 9 of 10

9. Does stress seem to increase your neck symptoms?

A

No

B

Sometimes

C

Frequently

D

Definitely

Question 10 of 10

10. Have you tried other approaches that provided only temporary relief?

A

Many

B

Several

C

One or two

D

No

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