Your Starting Point

Welcome to MIBRAR. Before your treatment, we'd like to capture how you're feeling today. This becomes your personal baseline — the starting point we measure every improvement against. It takes about two minutes, and there are no right or wrong answers; your honest impressions are what matter most. Your responses are kept confidential and used only to track and improve your care.

Your Wellbeing

How would you rate your physical health?

How would you rate your mental & emotional health?

How well can you do your usual activities (work, home, leisure)?

How would you rate your sleep quality lately?

How would you rate your energy levels lately?

How would you rate your mood and stress resilience?

How would you rate your ability to concentrate and focus?

Overall, how well have you been feeling lately?

Your Pain

How much pain are you in right now?

At its worst this past week, how bad was the pain?

At its best this past week, how bad was the pain?

How much has pain interfered with your daily life this week?

Your Medication

Are you currently taking pain medication for your condition?

Your Spine

Please answer about your back and/or neck — the area or areas we treated. If more than one part of your spine was treated, rate things overall.

How much does your spine pain limit sitting?

How much does your spine pain limit standing?

How much does your spine pain limit walking?

How much does your spine pain limit lifting or carrying?

Do you have pain, numbness or tingling travelling into your arms or legs?

Your Joints

Please answer about the joint or joints we treated. If we treated more than one, rate them as a whole — overall, how they feel.

Overall, how stiff do your treated joints feel?

Overall, how much swelling is there?

How freely can you move them — bending, straightening, raising?

Do any of them feel unstable, weak, or give way?

Your Vitality

How would you rate your energy levels?

How would you rate your physical recovery?

How would you rate your physical strength?

How would you rate your endurance / stamina?

How would you rate your flexibility / mobility?

How would you rate your sleep quality lately?

How would you rate your motivation and drive?

How would you rate your mood and stress resilience?

How would you rate your ability to concentrate and focus?

Overall, how well have you been feeling lately?