What is your primary reason for considering the Mobi-C artificial disc?
Pain relief Improved mobility Previous surgery issues Other medical reasons No specific reason
Have you consulted with a healthcare provider about Mobi-C?
Yes, and got recommendation Yes, but no recommendation No, not yet
How familiar are you with the Mobi-C artificial disc?
Very familiar Somewhat familiar Not very familiar Not familiar at all
What is your age group?
Under 30 30-50 51-70 Over 70
Would you like more information about the Mobi-C disc?
Yes, please No, I have enough info
All set, how can we reach you?
Name
Email
Phone
(Details here)
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