Please confirm your email address
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How often does pain stop you from living your life?
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Once a Month or less
1-4 days a Month
1-3 days a Week
Everyday
How long have you been seeking solutions for your condition?
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Less than 6 months
6 months to 1 year
1-5 years
Over 5 years
Which treatments have you tried so far?
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Traditional medical treatments
Surgery
Physical Therapy
Alternative Medicine
Other stem call treatments
(Select all that apply)
Do you have the means and desire to invest $2,000+ in Non-Drug, Non-Surgery treatment to change your life? This is a complete healing experience that includes: Premium stem cell therapy, Pre-treatment optimization, Post-treatment care:
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Yes, ready to invest
Need more information
Not at this time
Are you willing to undergo I.V. Regenerative Stem Cell therapy to regain your life?
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Yes
No
Are you willing to travel for treatment?
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Yes, definitely
Yes, but I have some questions
Not sure yet
When would you ideally like to begin your healing journey?
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Within 1 month
1-3 months
3-6 months
Just exploring options
Are you able to schedule a FREE PRIVATE 15-20 minute consultation with one of our Doctors to discuss your personalized treatment plan?
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Yes, ready to schedule
Need more information first
Yes, I commit to show up at the scheduled time I select
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Yes, I commit to show up at the scheduled time I select
No, I'm not ready to commit
What's your primary motivation for exploring stem cell therapy?
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Chronic pain or inflammation
Autoimmune condition
Anti-aging and regeneration
Athletic performance/recovery
Other