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Arthritis
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1) What kind of arthritis do you have?
*
Osteoarthritis
Rheumatoid arthritis
Gout
Other
2) How would you rate your mobility?
*
I have no limitations
Some of the time I need medication
I use a cane, walker, or crutches
I am bound to the house
3) Do you have pain that requires treatment?
*
Yes
No
4) Which of the following do you use for pain relief?
*
Non steroidal anti-inflammatory drugs including aspirin (NSAIDS)
Acetamenophen (Tylenol)
Narcotics
Chiropractic/Osteopathy
Acupuncture/Acupressure
Hypnotherapy/Imagery
Infrared light therapy
Energy medicine
Electrical stimulation (Transcutaneous electrical nerve stimulation, or TENS unit)
Other
I don't use any of these treatments
Homeopathy
Biofeedback
Qigong/Tai Chi/Yoga
Somatic therapies
Physical therapy
None of the Above
5) Does your pain Interfere with sleep?
*
Yes
No
6) Are you interested in lifestyle, dietary, and supplement recommendations to help your symptoms?
*
Yes
No
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