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To get relief from your symptoms, it’s important to talk to your doctor. This 3-part questionnaire can help you take that step. It may also help your doctor find out what is causing your symptoms and the best way to manage them.

Answer the questions below to create a customized symptom checklist. Then print it and share it with your doctor.

Muscle spasms or tightness, with or without pain
Neck and shoulder pain
Aches and pains around the neck, which become more severe and more constant over time
Head turning, pulling, or shifting to one side
Shaking or tremor
Symptoms improve after sleep or rest
Symptoms are worse after stress and/or activity (eg, driving, walking, writing, watching television)
Problems swallowing


Do you find your head involuntarily turning, tilting, or shifting in any direction, with or without pain?

Does your head involuntarily shake or jerk, with or without pain?