Skip to content
Day 11) Spinal Hygiene Survey
Patients Global Impression of Change (PGIC) scale
Please complete the following questionnaire and select the "submit" button when you're done.
1.
Since beginning the 21-Day Spinal Hygiene Challenge, how would you describe the change (if any) in ACTIVITY LIMITATIONS, SYMPTOMS, EMOTIONS, and OVERALL QUALITY OF LIFE, related to your overall health, spinal health, and/or painful condition? (choose ONE box).
1) No change (or condition has got worse)
2) Almost the same, hardly any change at all
3) A little better, but no noticeable change
4) Somewhat better, but the change has not made any real difference
5) Moderately better, and a slight but noticeable change
6) Better, and a definite improvement that has made a real and worthwhile difference
7) A great deal better, and a considerable improvement that has made all the difference
2.
In a similar way, please circle the number below, that matches your degree of change since beginning the 21-Day Spinal Hygiene Challenge.
Much Better
No Change
Much Worse
Clear
3.
Optional: Leave question, comment, and/or feedback below...
By selecting the "Submit" button below you are signing off on your survey for the day. Thank you.
