Name *

First Name

Last Name

1st Adjustment Follow-Up Survey *

Reduced pain or discomfort

Better sleep quality/duration

Better posture

Increased sensations within the body

Reduced muscle tension/stress

Strong bowel movement

Healthier stool

Fewer headaches

Less jaw-clicking

Improved TMJ

Feeling more alert or aware

Perspiration or moist palms

Appetite change

Improved motion throughout neck/back

Body stiffness/soreness

Improved mood, temper, or demeanor

Retracing symptoms

"I have not noticed any of these changes yet."