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Welcome and thank you for your participation!

Here's your opportunity to get answers to your most important questions about TMS, chronic pain and
Mindbody medicine in general.

In a upcoming teleseminar, I'll be answering your questions the best that I can from my perspective as a
former patient. So ask anything you want but be aware there are questions of a medical nature that I
cannot answer!

I'm not a doctor but I have helped many people for many years simply by answering their questions.
Let's see if I can help you!

Ken

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* 1. Please give us your contact information below:

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* 2. How long have you been experiencing your symptoms/pain?

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* 3. Have you been thoroughly checked out by your doctor who has ruled out serious disease?

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* 4. What is your biggest frustration about being in chronic pain?

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* 5. What is you biggest fear about your chronic pain/symptoms?

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* 6. What do you fear will happen in the future?

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* 7. What do you miss most about living without pain/symptoms?

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* 8. What will happen when you become symptom-free / what will your life be like?

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* 9. What are your questions about TMS, chronic pain and Mindbody Medicine?
Question #1

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* 10. Question #2

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* 11. Question #3

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* 12. Here are a couple of questions about my Mindbody Coaching Teleseminar Series:

What do you like best about the program?

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* 13. What could be improved?

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* 14. Do you usually listen live or to the playback?

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* 15. If you listen to the playback, why is that so?

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* 16. If you would prefer that these calls be scheduled for a different time and/or day, what would that be?
(Please specify time zone.)

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* 17. Would you like to participate as someone who I coach on a teleseminar?

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* 18. Would you be willing to participate in future surveys about this subject?

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