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Are you seeking relief from back pain, neck pain or headaches which have been unresponsive to treatment?

Please fill out the following questionnaire to see if you qualify for a free initial exam for a revolutionary new treatment option.

Less than six months.    Six months to a year.    More than a year.   

1    2    3    4    5    6    7    8    9    10   

Yes    No   

Yes    No   

Yes    No   

Yes    No   

Chronic    Comes and Goes   

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