The Care Response (CR) database has existed for ten years now and has grown steadily over time. Specifically, the CR database was developed to help clinicians overcome some of the barriers to using PROMs regularly in day-to-day clinical practice. The PREM in the CR database is two open-ended questions: (1) Is there anything particularly good about your chiropractic care? The CR database is currently provided to clinicians as a free-to-use online system. The CR database has been adopted in clinical practice across diverse settings and multiple countries and 218,770 patients used the CR database up to September 2022.