Contact Reach out to us. Contact CryoRx™ Phone 866-341-2602 Email info@cryorx.com Name First Last Email Leave us a message NameThis field is for validation purposes and should be left unchanged. Patient Survey Step 1 of 3 33% Patient's Name First Last Doctor's Name First Last Which body part(s) are you using CryoRx to treat? Back Neck Shoulder Elbow Hip Knee Hand/Wrist Foot/Ankle Other What is your pain level while / after using CryoRx?0123456789100= No Pain 10= Excruciating Pain What is your pain level while / after using CryoRx?0123456789100= No Pain 10= Excruciating Pain By what percent is your pain reduced when using CryoRx?0123456789100= No Pain 10= Excruciating Pain Are you being prescribed pain medication for your condition? Yes No Have you been using less pain medication since using CryoRx? Yes No Has CryoRx improved your mobility and functionality? Yes No Did you use CryoRx once a day for 30-45 minutes, as recommended? Yes No Was CryoRx easy to use? Yes No Additional comments or questions?
