Welcome, you're going to have a good time here!

With the Medication Free Headache Management method you can prevent, stop, and reduce the frequency, duration, and intensity of your headaches and migraines, within minutes.

Answer the following questions regarding your headaches and/or migraines to receive your invitation for the upcoming NO MORE HEADACHES webinar!

When: 29th of February - 8 PM CET 
Where: live on Zoom
Link: receive the link to this free-of-charge event by filling up this questionnaire!

Learn my tips and tricks and become HEADACHE FREE & MEDICATION FREE!
With Love,
Barbara

Sign in to Google to save your progress. Learn more
Your full name *
Your best email address *
Your mobile phone number - sometimes the emails arrive in the spam folder and you'll never find them back :(
For this reason please give me your GSM number so I can contact you via messaging. I promise I will never spam you!
*
How often do you have headaches? *
Required
How often do you have migraines? *
Required
Since how long are you suffering from headaches and migraines? *
Required
How long do the headache or migraine episodes last? *
Required
What is the intensity of your headaches or migraines on a scale of 1 to 10? *
Required
How old are you? *
Is there any additional information you would like to share? *
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy