I have chronic pain and am between the ages of 12 and 25.
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Email address *
How old are you? (in years) *
What is your gender? *
What state do you live in? *
What kind of chronic pain are you experiencing? *
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What are some pain related issues that you are currently facing? *
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Which creative healing technique(s) are you interested in learning more about? *
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Would you be interested in joining CHYP to explore creative healing techniques and interact with other teens who have chronic pain? *
Are you interested in getting updates about CHYP’s development and services? *
Is there anything else you would like to tell us?
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