Welcome to CHIRO HAUS!

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First Name *

Last Name *

Email *

Phone *

What are you currently experiencing pain?

Lower back

Neck

Shoulder

Knee

Ankle/Foot

Pregnancy

Actually, it's not for me

How long have you suffered? *

Haven't - this is prevention not cure

A few days

1-2 weeks

2-4 weeks

1-3 months

Long enough

Seems like too long (years)

What have you tried in the past to treat your pain?

Physical Therapy

Chiropractic

Surgery

Injections

Are you looking for a long term solution or a quick fix?

Yes! A long term solution
Honestly, just looking to get adjusted
I was looking for an alignment but I am interested in something long term
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Where did you hear about us? *

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