1. Please select your status:
Veteran
Non-Veteran
2. How long have you been using HealthLight therapy consistently?
Never used
First week
Second week
Third week
1 month
1-2 months
2-3 months
4 or more months
Other:
3. How often do you typically use HealthLight therapy?
Daily
Once weekly
Several times per week
Occasionally
Other:
4. About how long did it take before you started noticing any changes?
First week
Second week
Third week
1 month
1-2 months
1-3 months
4 or more months
N/A
Other:
5. Since using HealthLight therapy have you noticed any changes in the following areas:
Select the score that best describes how you feel in each area; Or if never used, list your current status in each area.
Pain: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Tingling: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Numbness: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Sharpness: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Dullness: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Burning sensations: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Cold Feet: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Nerve pain: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Balance/Stability: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Fear of falling: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Walking confidence: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Strength: 0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
Other:
0-4: LESS; 5: NO CHANGE; 6-10: MORE
0
1
2
3
4
5
6
7
8
9
10
If you have any additional comments, please leave them here.
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