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Whole Body Alignment
Dr. Carolyn Gochee
Doctor of Chiropractic

"It's More Than Just an Adjustment"

820 West Victory Way, Craig, CO 81625 (Map) / Office: 970-824-3070 (Office Hours)
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EWellness Questionnaires
Get Adobe ReaderPlease select the appropriate questionnaire below, print, and complete questionnaire prior to visiting Dr. Gochee.

(Questionnaire files are in .pdf file format. If your computer does not have Adobe Reader, please click on the Get Adobe Reader button to download Adobe Reader.)


Abdominal Pain/Cramps
Allergies/Asthma
Arthritis Profile
Autoimmune Disease
Back Pain/Neck Pain
Bronchitis/Cough
Cancer Profile
Cholesterol Problems
Chronic Fatigue Syndrome
Chronic Urinary Tract Infections
Cold or Flu
Comprehensive
Constipation
Crohn's Disease
Decreased Sex Drive
Dementia/Memory Problems
Depression
Diabetes/Metabolic Syndrome Profile
Diarrhea
Dizziness/Vertigo/Light Headed
Dry Skin/Brittle Nails
Ear Ache/Ear Infection
Edema
Endometriosis
Energy with Problems/Fatigue
Fibromyalgia
Food Intolerance/Food Allergies
Headaches/Migraines
Heart Disease Profile
Heartburn/Reflux/Gerd
Hypertension
Infertility
Irritable Bowel
Lung Problems
Macular Degeneration Profile
Nausea/Vomiting
Numbness/Tingling
Osteoporosis Profile
Pain/Inflammation
PMS/Irregular Periods
Prostate Health Profile
Rash/Warts/Skin Conditions
Sciatica/Disc Herniation
Sinus/Nasal Congestion
Sleeping Problems
Sore Throat
Stress/Anxiety
Thyroid Problems
Weight Gain
Wrist/Hand Pain
Yeast Infection


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Strong Hands, Gentle Touch


Carolyn Gochee, D.C.
Chiropractor
Office: 970-824-3070
email: Info@DrGocheeSOT.com