Initial Consultation

Banora Chiropractic — Baseline Assessment

Phase 0
Welcome to Banora Chiropractic
This assessment establishes your health baseline. Enter your name to begin.

Chief Complaint

Step 1 of 5

Phase 0
Step 1 — Chief Complaint20%
What brings you in today?
Tell us about your main concern

Pain Baseline

Step 2 of 5

Phase 0
Step 2 — Pain Baseline40%
Rate your pain
0 = no pain, 10 = worst imaginable
0 — None10 — Worst
0
0 — None10 — Worst
0
0 — None10 — Worst
0

Function & Lifestyle

Step 3 of 5

Phase 0
Step 3 — Function & Lifestyle60%
How is this affecting your life?
Help us understand your day-to-day impact
LowHigh

Health History

Step 4 of 5

Phase 0
Step 4 — Health History80%
Medical background
This helps us provide safe and appropriate care

Goals & Expectations

Step 5 of 5

Phase 0
Step 5 — Goals100%
What do you want to achieve?
Your goals help us personalise your care plan
LowHigh

Your Baseline

Assessment complete

Phase 0
âģ Sending to clinic...
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Overall Health Score (baseline)
Summary