Don't let cookie-cutter care hold you back any longer. Get the right information you need to overcome the barriers that are holding you back from living your fearless and fulfilling life. Get curated information, tailored to you and your pain care journey for free, by filling out this questionnaire.
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Question 1 of 9
What is your Gender?
I am WOMAN, hear me ROAR!
I'm a man!
Question 2 of 9
Do you have nerve pain or neuropathy?
Yes
No
Question 3 of 9
Do you have arthritis (of any kind) or degenerative changes (such as disc bulge(s), bone spurs, bone-on-bone, cartilage damage, DDD, DJD, etc.)
Question 4 of 9
Do you have fibromyalgia (either suspected or diagnosed)?
Question 5 of 9
Do you have CRPS (either suspected or diagnosed)?
Question 6 of 9
Do you get headaches and/or migraines?
Question 7 of 9
What's standing in your way or holding you back from getting in control of your pain right now? (Check all that apply)
Knowledge: I don't know what else I can do. I don't have the knowledge or tools.
Time: I'm too busy!
Myself: I don't have confidence in myself to stick to anything.
Money: There is no way I can afford to invest in my pain care.
Beliefs: I'm afraid nothing will ever work for me.
Support: I don't have the support, guidance, or accountability I need.
Circumstances: Right now is not a good time.
My medical care: I'm waiting to hear back from my dr., I'm waiting for referrals, testing, appointments, approvals, etc., I waiting to get more injections, start a new medication, try more therapy, etc.
Question 8 of 9
How much knowledge do you have on the role of the nervous system in pain & nervous system retraining?
I'm an expert!
I know a decent amount.
I know a little bit about it.
I've heard of it but have no clue what it involves.
Never heard of it.
Question 9 of 9
Are you interested in learning more about the Chronic Pain Breakup Method?
Yes! I want to know if this is something that could help me & what the process looks like!
No, I don't want to learn about a proven method that could help me get in control of my pain.