Find out if you’re a candidate for the DRS Protocol

Neck Pain Self-Test

This questionnaire has been designed to give the doctor information as to how your neck pain has affected your ability to manage everyday life. Please answer every section and mark only ONE box that applies to you. We realize that you may consider that two of the same statements in any one section relate to you, but please just mark the box that most closely describes your problem.

Neck Pain Diagnostic Self-Test

0 (no pain) – 10 (unbearable pain)


Davis Clinic of Chiropractic
1585 Santa Barbara Blvd, Suite A
The Villages, FL 32159

Phone: (352) 430-2121


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Davis Clinic of Chiropractic | 1585 Santa Barbara Blvd, Suite A, The Villages, FL 32159 | (352) 430-2121
Serving the Villages, Lady Lake, Fruitland Park, Ocala, Lake County, FL & Surrounding Areas.

The information contained within this website should not be considered medical advice. Any information contained herein is for informational purposes only. If you have an emergency, call 911.
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