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* 1. Please indicate which therapist treated you for this condition?  Both may be checked if you saw both therapists.

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* 2. Please indicate which condition(s) you had treated with us.  More than one may be checked if you had both conditions treated during the SAME treatment session(s).

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* 4. Please rate your pain BEFORE RECEIVING TREATMENT, 1 being no pain and 10 being the worst pain you've ever experienced.

  1 2 3 4 5 6 7 8 9 10
Level of Pain

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* 5. Please rate your pain AFTER RECEIVING ALL TREATMENTS, 1 being no pain and 10 being the worst pain you've ever experienced.

  1 2 3 4 5 6 7 8 9 10
Level of Pain

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* 6. Please rate your overall satisfaction with your treatments, 0 being completely dissatisfied and 5 being completely satisfied.

  0 1 2 3 4 5
Effectiveness of Treatment
Cost of Treatment
Appointment Availability
Recovery/Down Time
Overall Impact on Quality of Life

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* 7. Was your condition completely resolved?

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* 8. Would you be willing to write a brief testimonial about your experience with us?  All testimonials received will be anonymous and may be posted publicly.

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* 9. If you replied 'Yes' to Question 8, please write your brief testimonial in the box below.  If you replied 'No', please leave this question blank and click 'Finish Survey'.  Thank you for your time and feedback!

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* 10. Would you like to review Edmonton Shockwave Therapy Centre on Google? 

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