Treatment Progress | Chicago Stem Cell Therapy

Your results after stem cell therapy treatments are important to us. Please share your progress so we may continue providing the best possible care. Information submitted in this form may be used for educational or marketing purposes, but patients' identities will not be disclosed. Thank you!

First name

Last name

Treatment(s) Received

Neck or Back Injection(s)

Joint Injection(s)

IV Infusion(s)

How much relief of PAIN have you noticed after treatments? If this does not apply to your condition, please skip this question. (0%= no relief, 100%= complete relief)

How much improvement have you noticed in your OVERALL FUNCTION and other symptoms after treatments? (0%= no improvement, 100%= complete improvement)

How satisfied are you with your overall EXPERIENCE at Chicago Stem Cell Therapy? (0%= not satisfied, 100%= completely satisfied)

Have treatments from Chicago Stem Cell Therapy improved your quality of life?

Please share any additional symptoms, changes, or comments you would like us to know.