I have a child with chronic pain.
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Email address *
How old is your child? (in years) *
What is your child's gender? *
What state do you live in? *
What kind of chronic pain is your child experiencing? *
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What are some pain related issues that you are currently facing? *
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What are some pain related issues that your child is currently facing? *
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Which creative healing technique(s) are you interested in learning more about? *
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Which creative healing technique(s) is your child 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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