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1. Do you have neck pain as the result of an auto crash or accident?
Click Here Yes, I have neck pain as a result of an auto accident No, I don't have neck pain as a result of an auto accident
2. If your vehicle was hit by another vehicle, what was the direction of the impact?
Click Here Rear End (Another car hit the rear of my car) Side Impact Front Impact Other Not sure... I wasn't hit by another vehicle...
3. How long ago was your accident?
Click Here Less than 3 months ago 3 months to 6 months 6 months to 12 months 1 year to 3 years More than 3 years
4. Were you the driver or a passenger in the vehicle?
Click Here Driver Front Seat Passenger Other Passenger Not Sure Other
5. Was the vehicle you were in at the time of the accident left hand drive (American Type Vehicle) or right hand drive (British Type Vehicle)?
Click Here Left Hand Drive (American Type Vehicle) Right Hand Drive (British Type Vehicle) Not Sure
6. Turn your head right then bring it back as far as you can and look at the ceiling, as shown below. Notice how much pain you have in the back of your neck. (Ignore any pain or pulling in the front of the neck).
Head back
and to the right.
Click Here Hurts more on the right... Hurts more on the left... Hurts equally on both sides... Neither side hurts much in the back...
7. Then turn it left and bring it back as far as you can and look at the ceiling, as shown below.
and to the left.
8. Do this a few times on each side, which side hurts more in the back of the neck?
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