Inclusion Criteria:  Age greater than or equal to 18 years Ability to speak and read comfortably in English Affliction by a spinal condition warranting evaluation for operative treatment  Exclusion Criteria:  Current incarceration Individuals incapable of consenting and/or objectively responding to surveys, irrespective of reasonable assistance Women currently pregnant or expecting to become pregnant in the near future Subjects participating in another research study, whose protocol would conflict with comprehensive participation in this study Subjects with psychiatric pathology which may impair judgement or the ability to give informed consent.