Quiz Am I a candidate for the Clarke Protocol?

1. Have you been diagnosed with Arthritis of the Knee/s?*
- Yes
- No
2. Have you been told you need knee replacement surgery?*
- Yes
- No
3. What treatments have you received with limited success?*
- Cortisone injections
- Oral steroids
- Hyaluronic injections (Commercial name: Synvisc)
- Pain Killers
- Physical Therapy
- Chiropractic
- Knee replacement
- Implants or hardware
- Other:
explain*
4. What symptoms are you currently experiencing?*
- Pain when walking or moving
- Pain with light activity
- Pain with heavy activity
5. What is your current level of pain?*
- 1 (Mild)
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 (Severe)
6. How soon are you seeking to treat your knees?*
- As Soon As Possible
- 1-2 Months
- 2-5 Months
- Within a year
7. Is it a priority to choose a non-surgical solution?*
- Yes
- NO
8. What is your age?*
- <40
- 41-50
- 51-60
- 61-65
- 66–70
- 71-75
- 76-80
- >80
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