What type of pain or discomfort are you experiencing?
*
Joint pain (knee, shoulder, hip, etc.)
Muscle pain or strain
Back or neck pain
Multiple areas of discomfort
other
How long have you been experiencing this issue?
*
Less than 1 month
1-6 months
6-12 months
1-5 years
More than 5 years
Have you tried any of these conventional treatments?
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Physical therapy
Pain medication
Steroid injections
Surgery
None of the above
Has your condition affected your ability to perform any activities?
*
Work performance
Exercise/sports
Daily activities (walking, stairs, etc.)
Sleep quality
All of the above
What is your primary goal for treatment?
*
Pain relief
Improved mobility/function
Avoid surgery
Long-term solutions (not just symptom management)