Take this 30-second quiz to see if you qualify for a
FREE
Pain Relief Session.
How long have you been experiencing pain?
*
Just Recently
0-6 Months
6-12 Months
More Than 12 Months
Where are you experiencing pain?
*
Neck Pain
Back Pain
Shoulder Pain
Knee Pain
Foot Pain
Hip Pain
Other
What is this pain preventing you from doing?
*
Walking
Running
Sleeping
Exercising
Family Time
Other
What have you tried in the past to get relief?
*
Medication
Physical Therapy
Chiropractic
Physician
Googled It
Others
How old are you?
*
18-24
25-49
50-64
65 & older
What type of insurance do you have?
*
BPA - Benefit Plus Administrator
Canada Life
Canadian Construction Workers Union
Chambers of Commerce Group Insurance
CINUP
ClaimSecure
Cowan
D.A. Townley
Desjanrdins Insurance
First Canadian
GMS Carrier 49
GMS Carrier 50
GroupHEALTH
GroupSource
Other
Other Insurance?
*
Industrial Alliance
Johnson Inc.
Johnston Group Inc.
LiUNA Local 183
LiUNA Local 506
Manion
Manulife Benefit
Maximum Benefit
RWAM Insurance Administrators
Sun Life Financial
TELUS AdjudiCare
Union Benefits
None of the above
No Insurance
Are you willing & able to invest in your health & wellness?
*
Yes
No
What's your full name?
*
What's your email?
*
What's your phone number?
*
