(1) Do you have occasional back or leg pain (neck or arm pain, if it was a neck problem) severe enough to interfere with normal work or leisure activities?(Please answer Yes or no): No
(2) Are you handicapped by severe pain (Please answer Yes or no)?:No
(3) How are your symptoms different in comparison to prior to your procedure?: Much improved
(4) What medication are you taking and how often?: No medication
(5) Have you had any lumbar spine surgery since your surgery with us (Please answer Yes or no)?: No
(6) If so, what was done and when?: N/A
(7) What doctor and facility?: N/A
(8) When did you return to work?: The day after surgery
(9) Are you working at the same job as prior to the start of your back problem? If a different job, please describe: Yes
(10) Working full time? Yes
(11) No limitation, or if there is a limitation at work, please describe: No limitation
