What pain are you experiencing?
Back pain Neck pain Muscle tension Joint stiffness
How long have you had this pain?
Less than 1 month 1-3 months 3-6 months Over 6 months
What is your pain intensity?
Mild Moderate Severe Unbearable
What treatment have you tried?
Medication Physical therapy Massage None
How did you hear about us?
Friend/Family Online search Social media Other
All set, how can we reach you?
Name
Email
Phone
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    Advanced neuromuscular techniques

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    Achieve pain-free living

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