First Name
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Last Name
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Best Time For A Call Back
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Through The Day
After 5pm
Anytime
What does it stop you from doing?
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What concerns you most?
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What concerns you most?
Not knowing what's wrong
Depending upon painkillers
Losing mobility or independence
The risk of facing dangerous surgery
Not being able to be active & enjoy my life and family
Women's Health Concerns
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How Long Have Your Suffered Or Worried?
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Haven't - this is prevention not cure
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)
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Email
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