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* 1. How many days of the week does chronic back pain keep you from doing something you want or need to do?

1 7
i We adjusted the number you entered based on the slider’s scale.

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* 2. Which of the following best describe your situation?

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* 3. Please list your Specific condition(s) if you can(i.e Herniated disc, arthritis)

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* 4. Which would best describe your current situation?

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* 5. Are you working at the moment?

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* 6. As someone living with chronic back pain, what piece of information would you like to learn more about?

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* 7. What's your age range

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* 8. What are your hobbies,  Do you enjoy Sports? If so please list which ones.

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* 9. If you could share one piece of advice that you've learned with your back pain(low, mild, and severe), what would it be?

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* 10. If you'd like to receive quality content, top industry news, and the latest product information, add your email below.

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