Is ReActiv8 right for you?

Complete this survey to see if you’re a good fit

Take the first step towards finding a doctor and determining if ReActiv8 is right for you. By answering the following questions, we can provide you with general guidance on whether you may be a candidate for ReActiv8.

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Have you experienced back pain for more than 3 months?*
Is your low back pain worse than your leg pain?*
If you were to rate the level of your day-to-day low back pain on a scale of 0-10, with 0 being very little pain, and 10 being the worst possible pain, how would you rate your average low back pain over the last 7 days?*
Have you tried prescription medication or attempted physical therapy for your low back pain?*
Are you willing to consider a surgical procedure for your low back pain?*
Have you previously had lumbar decompression or lumbar fusion surgery?*

Consent:  By completing the above survey, I consent to Mainstay Medical reviewing this limited health information about me, providing an initial, preliminary assessment about whether ReActiv8 may be a suitable therapy for me, and offering to contact me to provide more information. I understand this does not represent medical advice, opinion, diagnosis, or services in any way, and I must consult with my physician or other health care provider for an actual determination about this product. I also understand that, by providing this information, I am not guaranteed or promised any service or product, nor a final or complete assessment on whether ReActiv8 may be appropriate for my low back pain.