Stress causes tight muscles, and tight muscles can cause acute pain.  Although many people are often reluctant to admit there is an emotional cause for their back pain, you must be open-minded about this cause. Answer the following questions to determine how much of your back pain is caused by emotional issues. Your score will automatically appear at the end of the survey. As always, we recommend you consult with your own doctors and/or medical professionals.

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1. Please provide the following information. (Required.)

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2. Would you describe your current stress level as moderate to high?

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3. In comparison to the work week, do you feel better on the weekends?

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4. Are you having financial problems?

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5. Are you experiencing relationship issues?

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6. Are you dealing with any significant stressful event in your life?

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7. Does your job bring you stress?

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8. Do you frequently feel anxious or suffer from anxiety?

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9. Do you frequently feel uptight?

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10. Has a close family member or friend died?

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11. Are you trying to get pregnant but having difficulty doing so?

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12. Are you having trouble sleeping?

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13. Are you feeling stressed out and worried because of the pain you are suffering?

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14. Did you recently have to do something that you didn’t want to do?

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15. Do you get along with your fellow employees?

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16. Are you feeling fulfilled in your career?

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