Acupuncture Survey


*Free Consultation (30 minutes) to All
that Response to the Survey on Acupuncture*

Acupuncture Survey

1.   If you were to consider acupuncture treatment, which of the following conditions would you like addressed?

o   Disorder of the bones, muscles, joints or nervous system
o   Addiction or psychological disorder
o   Gastrointestinal or urogenital disorder
o   Respiratory disorder
o   Gynecological disorder
o   Other ______________

2.    Have you heard that acupuncture helps to treat the root cause of pain without side effects like those caused by painkillers?

o   Yes
o   No
3.    Do you realize that acupuncture focuses on treating the whole person rather than the symptoms?

o   Yes
o   No
4.   Do you know that the acupuncture needles release the powerful pain-killing endorphins, 200 times more powerful than morphine?
o   Yes
o   No

5.   Have you read about the study that acupuncture helps relieve pain, relax the muscles, increase circulation, relieve muscle spasms, decrease inflammation, and even increase the T-cell count which has a positive effect on the immune system?

o   Yes
o   No
6.   Would you experience acupuncture treatment from a registered acupuncturist if your condition required it?
o   Yes
o   No


^^ Thank you for taking the time to response to the survey. ^^
Let the front desk know about it for free consultation.
Yoon B. Bang, Registered Acupuncturist