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Day 4) 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.
