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1. Have you had back pain?
1. Have you had back pain:
2 weeks to 1 month
1 month to 6 months
6 months to 1 year
Longer than 1 year
I don’t feel any back pain
2. Do you experience:
1. Have you had back pain:
Headaches
Neck ache
Stiffness
Pain that worsens with inactivity
None of the above
3. Some details about you:
Age
Height
4. Do you experience:
1. Have you had back pain:
2 weeks to 1 month
1 month to 6 months
6 months to 1 year
Longer than 1 year
I don’t feel any back pain
5. Almost done…
Name
Email
6. Do you experience:
1. Have you had back pain:
2 weeks to 1 month
1 month to 6 months
6 months to 1 year
Longer than 1 year
I don’t feel any back pain