Kirshner Health Solutions: Neuropathy Quiz
Please complete the survey below. The doctor looks forward to seeing you at the webinar!
Full Name *
Phone Number *
Email *
What interested you in this webinar? *
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On a scale of 1 - 10, how much does neuropathy interfere with your quality of life?
Lowest interference
Highest Impact
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"Other" interests for this webinar?
What symptoms have you experienced as a result of your neuropathy? *
What is your biggest struggle with implementing a healthy lifestyle? *
I want a doctor coach who... *
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