Be Heard in Our Sciatica Survey

Thank you for your interest in taking the sciatica survey, brought to you exclusively by The Cure Back Pain Network, in cooperation with SAR Research and Statistics Ltd. This research questionnaire is designed to help medical providers better understand sciatica, pseudo-sciatica and other lower body nerve pain syndromes.  By taking a minute to contribute your own sciatica experiences, you will help improve diagnostic and treatment protocols throughout the healthcare industry.

This survey is totally anonymous.  Furthermore, you will not be placed on any mailing lists, since your information is never shared with any other entity.  The only correspondence that you will ever receive is a simple confirmation of receipt for your survey results.

Please consider your answers carefully, be honest and provide as much detail as possible in order to best help facilitate positive changes in the medical sector. The findings of this survey are critical for improving sciatica care on a global scale.

Our research tools have been used since 2006 to steadily enhance patient therapy experiences for a variety of diagnoses, including sciatica.

Thank you for your contribution. There is no substitute for the personal experiences of real patients to help improve the healthcare industry for everyone. 


Sciatica Survey

Please note that all fields followed by an asterisk must be filled in.
male
female
Under 18
18 to 25
26 to 35
36 to 45
46 to 55
56 to 65
66 to 75
76 to 85
over 85
Sciatica
Pseudo-Sciatica
Spinal Stenosis
Pinched Nerve
Herniated Disc
Spinal Arthritis
None
Unilateral (one side of the body)
Bilateral (both sides of the body)
Lower Back
Buttocks
Legs
Feet
Middle Back
Neck
Other
Less than 1 month
Less than 3 months
Less than 6 months
Less than 1 year
1 to 3 years
4 to 7 years
8 to 12 years
13 to 20 years
20 years or longer
One time
Several times
Occasional
Somewhat frequent
Frequent
Always present
Pain
Tingling
Numbness
Weakness
Other
Mild
Moderate
Severe
Extreme
Yes
No
Not Sure
Acupuncture / Acupressure
Alternative Medicine
Chiropractic
Pharmaceutical Drugs
TENS
Inversion
Massage
Epidural Injections
Knowledge Therapy
Physical Therapy / Exercises
Non-Surgical Spinal Decompression
Surgery
Other
I am completely recovered
I still have a little pain
I have occasional moderate pain
I have chronic moderate pain
I have occasional severe pain
I have chronic severe pain
I have occasional extreme pain
I have chronic extreme pain
No
Somewhat Helpful
Helpful
Super Helpful


Thank you for taking our sciatica research survey.

You might also be interested in sharing your story on our sciatica forum.




Sciatica > Sciatica Survey