Are you currently a working professional who's job requires repetitive actions with your hands like typing, mouse use, phone use, tool manipulation? *

Yes

No

Do you currently have finger, wrist, hand, or forearm pain / numbness or tingling from repeated use that affects your work or personal hobby? *

Yes

No

‎

‎

How long have you been dealing with this pain? *

1-2 Months

3-5 Months

6-11 Months

1+ Years

How many health professionals have you seen to try to solve this problem? *

1

2

3

4

5

6

7

8

9

10+

Do you have a current diagnosis of any of the following medical conditions, Wrist/Hand Sprain, Wrist/Hand Fracture, Rheumatoid Arthritis, Osteoarthritis, Gout, Lupus, Multiple Sclerosis, Stroke, or Bone Cancer? *

Yes

No

Last Name *

Email *

Phone *

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