Preliminary Interest Survey

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Hi there!

Thanks for your interest. I would like to know a little bit about you before we meet. As I am a one person practice, please allow up to one week for a response.

Looking forward to connecting with you.

Aiko

Email *

Name and pronouns: *

Where are you in your hypermobility diagnostic journey? *

Undiagnosed but having symptoms

In the process of being diagnosed

Recently diagnosed with hEDS or HSD or another connective tissue disorder

Figuring out how to manage my diagnosis

Pretty well settled into managing my diagnosis but need help with something specific

Unsure

I'm not hypermobile

Other:

What kinds of services are you interested in? *

Telehealth

In-person

Small group classes (virtual)

Required

Is there anything you would like me to know about your health experience so far?

How did you hear about me? *

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